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Certificate of Veterinary Inspection · issued 2024-08-19

35-265158

RIDGLAN FARMS, INC.UNIVERSITY OF CA-DAVIS · 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)

UNIVERSITY OF CA-DAVIS

TUPPER HALL 1275 MED SCIENCE DRIVE DAVIS, CA 95616

State
CA
Shipped
2024-08-19
Inspected
2024-08-19
Issued
2024-08-19
Purpose
Species
Dog (Beagle)

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 08/13/2024 (JDG-8); ditto lines suggest remaining animals also covered
Other declarations
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac 3-Rabies2024-08-132025-08-13specific
Canine 1-DAPPvNobivac2024-08-13specific

Remarks / additional certifications

Mailing address for consignor: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Number of animals in shipment: 6. Owner/Agent signature: Pamela G. Brueke.

Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. 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
JDG-8BeagleFADULTADULT
JKO-8Beagle
LRQ-8Beagle
LVQ-8Beagle
UKO-8Beagle
VSO-8Beagle

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 35-265158
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 2180 · cost $0.0429
Overall confidence0.82 · cross-tier agreement 1.00
Model notesRow 1 (JDG-8) has explicit entries for Sex (F), Age (ADULT), Rabies vaccination date (08/13/24), expiration (08/13/25), product (Nobivac 3-Rabies), serial number (688214), Rabies Tag (N/A), Other Vaccinations (Canine 1-DAPPv), Date Vaccinated (08/13/24), and Product/Vaccine Producer (Nobivac). Rows 2-6 (JKO-8 through VSO-8) show vertical ditto lines through Sex, Age, and vaccine columns through row 6 (VSO-8), terminating with checkmarks. Per the ditto/inheritance rule, these rows inherit Sex=F and Age=ADULT from row 1; however, explicit vaccination details for rows 2-6 are only indicated by vertical ditto lines — the confidence that all 6 animals received the same vaccinations is moderate since only row 1 has a clearly legible serial/rabies tag number. Breed 'BE' expanded to 'Beagle'. Consignor mailing address differs from origin street address but both appear to belong to Ridglan Farms, Inc. Certificate number taken from top-right: 35-265158. Issue date and inspection date both 8/19/2024 per bottom of form.

shrine_id 986487 · doc_class PaperCvi