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Certificate of Veterinary Inspection · issued 2024-08-13

35-265157

RIDGLAN FARMS, INC. → MAYO CLINIC, DEPT. OF COMP. MED · 1 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

MAYO CLINIC, DEPT. OF COMP. MED

2200 INSTITUTE ROAD S.W. ROCHESTER, MN 55902

State
MN
Shipped
2024-08-13
Inspected
2024-08-13
Issued
2024-08-13
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 08/05/2024, expires 08/05/2025, Nobivac 3-Rabies, Serial No. 688214
Other declarations
Veterinarian certifies animal has been inspected and is not showing signs of infectious, contagious and/or communicable disease. Not returning to WI.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-08-052025-08-05specific
Canine 1-DAPPvNobivac / Nobivac2024-02-22specific

Remarks / additional certifications

Veterinarian certifies animal has been inspected and is not showing signs of infectious, contagious and/or communicable disease. Not returning to WI.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (1)

IDBreedSexAge / DOBColorMicrochip / tattooOther
IYS-3BeagleFAdultAdult

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 35-265157 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1293 · cost $0.0296
Overall confidence0.93 · cross-tier agreement 1.00
Model notesSingle page CVI. Only one animal (row 1) is filled in; rows 2-7 are blank. Breed abbreviation 'BE' expanded to 'Beagle'. Owner mailing address listed as P.O. Box 318 Mt. Horeb, WI 53572, which differs from origin street address (Blue Mounds) — both belong to Ridglan Farms. Rabies serial number 688214 recorded; Rabies Tag listed as N/A. Two vaccinations noted: Rabies (Nobivac 3-Rabies, 08/05/24) and Canine 1-DAPPv (Nobivac, 02/22/24). The owner/agent signature appears to read 'Pamela J. Bulle'. Received stamp: AUG 19 2024.

shrine_id 977852 · doc_class PaperCvi