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Certificate of Veterinary Inspection · issued 2024-08-20

35-265159

RIDGLAN FARMS, INC.IIT RESEARCH INSTITUTE · 40 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2024-08-20
Inspected
2024-08-20
Issued
2024-08-20
Purpose
Species
Dogs (Beagles)

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; expires 08/13/2025; Nobivac 3-Rabies serial 688214
Other declarations
Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-08-132025-08-13all
Canine 1-DAPPvNobivac / Nobivac (Canine 1-DAPPv)2024-07-17all

Remarks / additional certifications

Permit Number: IPDI BSSE. Not returning to WI. Number of animals in shipment: 40. Mailing address: P.O. Box 318 Mt. Horeb, WI 53572.

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

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (40)

IDBreedSexAge / DOBColorMicrochip / tattooOther
EJC-4BeagleF5 Mos5 Mos
GJE-4BeagleF5 Mos5 Mos
HOC-4BeagleF5 Mos5 Mos
IWE-4BeagleF5 Mos5 Mos
JLE-4BeagleF5 Mos5 Mos
JXE-4BeagleF5 Mos5 Mos
LOE-4BeagleF5 Mos5 Mos
OLE-4BeagleF5 Mos5 Mos
OOE-4BeagleF5 Mos5 Mos
OTE-4BeagleF5 Mos5 Mos
PAE-4BeagleF5 Mos5 Mos
PGE-4BeagleF5 Mos5 Mos
QAE-4BeagleF5 Mos5 Mos
QTE-4BeagleF5 Mos5 Mos
SOE-4BeagleF5 Mos5 Mos
SZE-4BeagleF5 Mos5 Mos
TTE-4BeagleF5 Mos5 Mos
TYE-4BeagleF5 Mos5 Mos
UDE-4BeagleF5 Mos5 Mos
UKE-4BeagleF5 Mos5 Mos
GIF-4BeagleM5 Mos5 Mos
GPD-4BeagleM5 Mos5 Mos
HCD-4BeagleM5 Mos5 Mos
HZD-4BeagleM5 Mos5 Mos
IUF-4BeagleM5 Mos5 Mos
JFF-4BeagleM5 Mos5 Mos
JTF-4BeagleM5 Mos5 Mos
LHF-4BeagleM5 Mos5 Mos
LZF-4BeagleM5 Mos5 Mos
OCF-4BeagleM5 Mos5 Mos
OGF-4BeagleM5 Mos5 Mos
OYF-4BeagleM5 Mos5 Mos
PEF-4BeagleM5 Mos5 Mos
PJF-4BeagleM5 Mos5 Mos
PQF-4BeagleM5 Mos5 Mos
PRF-4BeagleM5 Mos5 Mos
QVF-4BeagleM5 Mos5 Mos
RIF-4BeagleM5 Mos5 Mos
TQF-4BeagleM5 Mos5 Mos
TZF-4BeagleM5 Mos5 Mos

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 35-265159
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 8081 · out 7494 · cost $0.1367
Overall confidence0.88 · cross-tier agreement 1.00
Model notes40 animals total across 4 pages. Page 1 lists animals 1-7 (IDs EJC-4 through LOE-4) as Beagles abbreviated 'BE', with EJC-4 explicitly F/5 Mos; the remaining 6 on page 1 carry forward via ditto lines. Page 2 lists animals 7-21 (OLE-4 through GPD-4); OLE-4 is explicitly F/5 Mos, UKE-4 has a ditto checkmark for sex (F carried forward), GIF-4 is explicitly M, GPD-4 carries M via ditto. Page 3 lists animals 7-21 (HCD-4 through QVF-4); HCD-4 is explicitly M/5 Mos, rest carry forward via ditto. Page 4 lists animals 7-9 (RIF-4, TQF-4, TZF-4); RIF-4 is explicitly M/5 Mos, TQF-4 and TZF-4 carry forward. The ditto convention (vertical lines terminated with checkmarks) is used extensively for Sex, Age, Rabies vaccination date/expiration, product, serial number, rabies tag, other vaccinations, date vaccinated, and product columns. The 'BE' breed abbreviation on page 1 is expanded to 'Beagle' consistent with the explicit 'BEAGLE' label on pages 2-4. Owner mailing address differs from origin street address (P.O. Box 318 Mt. Horeb vs. 10489 W. Blue Mounds Road, Blue Mounds). The IPDI BSSE permit number appears to read 'IPDI BSSE' though partial legibility. Serial number 688214 for Nobivac 3-Rabies applies to all animals based on ditto lines. Canine 1-DAPPv (Nobivac) date vaccinated 07/17/24 also applies to all via ditto.

shrine_id 986492 · doc_class PaperCvi