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Certificate of Veterinary Inspection · issued 2024-07-29

35-265154

RIDGLAN FARMS, INC. → BAYSIDE PRECLINICAL SERVICES, INC. · 6 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone

608-437-8670

Consignee (buyer)

BAYSIDE PRECLINICAL SERVICES, INC.

5415 SILVEYVILLE RD. DIXON, CA 95620

State

Shipped

2024-07-29

Inspected

2024-07-29

Issued

2024-07-29

Purpose

—

Species

Dog

Carrier

Not stated on the certificate.

Issuing Veterinarian

Richard J. Van Domelen, D.V.M.

P.O. BOX 318 MT. HOREB, WI 53572

Phone

608-437-8670

State license

404991

USDA accreditation

033491

Health declarations

Rabies

Vaccinated 07/16/2024, expires 07/16/2025, Nobivac 3-Rabies

Other declarations

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Not returning to WI.

Vaccinations (2)

Name	Manufacturer / Product	Lot	Administered	Expires	Applies to
Rabies	Nobivac / Nobivac 3-Rabies		2024-07-16	2025-07-16	all
Canine 1-DAPPv	Nobivac / Nobivac		2024-07-16		all

Remarks / additional certifications

Owner/Agent: Pamela J. Burke. Mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Number of animals in shipment: 6. Shipping date: 7/29/2024.

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Not returning to WI.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (6)

ID	Breed	Sex	Age / DOB	Other
BUF-3	Beagle	M	Adult	Adult
CTF-3	Beagle	M	Adult	Adult
DJF-3	Beagle	M	Adult	Adult
EGF-3	Beagle	M	Adult	Adult
TZP-3	Beagle	M	Adult	Adult
UIP-3	Beagle	M	Adult	Adult

The CVI form lists each dog individually. Per-animal vaccination and treatment history is on the source PDF.

Primary source

This certificate was published by Wisconsin DATCP and is hosted on cvicentral.com. Click through to see the original PDF with all vaccination dates, treatment records, and any handwritten notes.

Open CVI 35-265154 ↗

Extraction provenance

Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware

Extracted2026-05-27 00:37:50

Tokensin 3395 · out 2163 · cost $0.0426

Overall confidence0.88 · cross-tier agreement 1.00

Model notesRow 1 (BUF-3) has explicit values for Sex (M), Age (Adult), Rabies Vaccination Date (07/16/24), Rabies Expiration (07/16/25), Rabies Product (Nobivac 3-Rabies), Serial Number (688214), Rabies Tag (N/A), Other Vaccinations (Canine 1-DAPPv), Date Vaccinated (07/16/24), and Vaccine Producer (Nobivac). Rows 2-6 all have vertical ditto lines running through Sex, Age, and all vaccination columns, terminating with checkmarks/ticks at row 6 (UIP-3), so all values are inherited. Breed 'BE' expanded to 'Beagle' for all animals. The Canine 1-DAPPv vaccination is listed in the 'Other Vaccinations' column and applies to all animals via ditto lines. Microchip/tattoo/ear tag fields are not filled in for any animal beyond the identification codes used as name_or_id. The Serial Number 688214 appears to be the vaccine lot/serial for the Rabies product, not a microchip.

shrine_id 969738 · doc_class PaperCvi