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Certificate of Veterinary Inspection · issued 2024-08-26

35-265164

RIDGLAN FARMS, INC.T.R.S. LAB · 20 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

T.R.S. LAB

215 PARADISE BLVD ATHENS, GA 30607

State
GA
Shipped
2024-08-26
Inspected
2024-08-26
Issued
2024-08-26
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 08/20/2024; expires 08/20/2025; Nobivac 3-Rabies; Serial 688214
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on the certificate. Animals meet state of destination and Federal interstate requirements.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-08-202025-08-20all
Canine 1-DAPPvNobivac / Nobivac2024-07-17all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on the certificate. Animals meet state of destination and Federal interstate requirements.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (20)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AYC-4BeagleF6 Mos6 Mos
BDC-4BeagleF6 Mos6 Mos
BQC-4BeagleF6 Mos6 Mos
CRC-4BeagleF6 Mos6 Mos
CWC-4BeagleF6 Mos6 Mos
FFC-4BeagleF6 Mos6 Mos
WDA-4BeagleF6 Mos6 Mos
WKA-4BeagleF6 Mos6 Mos
WZC-4BeagleF6 Mos6 Mos
YYC-4BeagleF6 Mos6 Mos
AID-4BeagleM6 Mos6 Mos
AUD-4BeagleM6 Mos6 Mos
BTD-4BeagleM6 Mos6 Mos
DTD-4BeagleM6 Mos6 Mos
FDD-4BeagleM6 Mos6 Mos
VTD-4BeagleM6 Mos6 Mos
XHD-4BeagleM6 Mos6 Mos
XQD-4BeagleM6 Mos6 Mos
YWD-4BeagleM6 Mos6 Mos
ZJD-4BeagleM6 Mos6 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 35-265164
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 4365 · cost $0.0803
Overall confidence0.87 · cross-tier agreement 1.00
Model notesPage 1 lists animals 1-7 (IDs AYC-4 through WDA-4) as 'BE' (Beagle). The first animal (AYC-4) has explicit Sex=F, Age=6 Mos. A vertical ditto line runs through rows 2-7, so all inherit F/6 Mos. Page 2 continues as animals 7-20 (form renumbers row 7 as WKA-4). WKA-4 (row 7 on page 2) has explicit F, 6 Mos. YYC-4 (row 9) has a checkmark in sex column — inheriting F from above. AID-4 (row 10) has explicit M — this starts a new sex group. Rows 11-19 (AUD-4 through ZJD-4) inherit M via ditto line terminating at ZJD-4 with a checkmark. Age of 6 Mos and all vaccination/other data carried forward via ditto lines throughout both pages. Rows 20 and 21 on page 2 are blank with no IDs — total animal count per form header is 20, matching the 20 animals extracted. The mailing address on page 1 shows 'P.O. Box 318 Mt. Horeb, WI 53572' for the owner, which is the vet's address; the consignor street address is 10489 W. Blue Mounds Road. Serial number 688214 appears on both pages for rabies vaccine — interpreted as lot/serial number for Nobivac 3-Rabies.

shrine_id 987527 · doc_class PaperCvi