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Certificate of Veterinary Inspection · issued 2024-07-29

35-265155

RIDGLAN FARMS, INC. → INTUITIVE SURGICAL · 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)

INTUITIVE SURGICAL

461 SOUTH BLAKER RD TURLOCK, CA 95380

State
CA
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 07/24/2024, expires 07/24/2025; Nobivac 3-Rabies
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-07-242025-07-24all
Canine 1-DAPPvNobivac / Nobivac2024-07-24all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (6)

IDBreedSexAge / DOBColorMicrochip / tattooOther
CRT-3BeagleMADULTADULT
DET-3BeagleMADULTADULT
EZR-3BeagleMADULTADULT
QET-3BeagleMADULTADULT
RKR-3BeagleMADULTADULT
SOR-3BeagleMADULTADULT

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 35-265155 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 2071 · cost $0.0413
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRow 1 (CRT-3) has explicit values for Sex (M), Age (ADULT), Rabies vaccination date (07/24/24), expiration (07/24/25), product (Nobivac 3-Rabies), serial number (688214), Rabies Tag (N/A), other vaccination (Canine 1-DAPPv), date vaccinated (07/24/24), and vaccine producer (Nobivac). Rows 2-6 (DET-3 through SOR-3) are spanned by vertical ditto lines across Sex, Age, and vaccination columns — all values inherited from row 1 per the ditto rule. Row 6 (SOR-3) shows explicit checkmarks/ticks terminating the ditto lines, confirming inheritance applies through that row. The owner/agent signature reads 'Pamela J. Burke'. The mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572. The form is marked 'Not returning to WI'. Page 1 of 1.

shrine_id 969737 · doc_class PaperCvi