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Certificate of Veterinary Inspection · issued 2024-08-26

35-265165

RIDGLAN FARMS, INC.T.R.S. LAB · 44 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; Nobivac 3-Rabies; expires 08/20/2025
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Vaccinations and test results meet state of destination and Federal interstate requirements.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-08-202025-08-20all
Canine 1-DAPPvNobivac / Nobivac Canine 1-DAPPv2024-08-20all

Remarks / additional certifications

Owner Mailing Address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Animals are NOT traveling with owner on vacation.

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

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (44)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AIU-3BeagleFAdultAdult
AJU-3BeagleFAdultAdult
AQU-3BeagleFAdultAdult
BBU-3BeagleFAdultAdult
BKU-3BeagleFAdultAdult
BLU-3BeagleFAdultAdult
GSU-3BeagleFAdultAdult
HCU-3BeagleFAdultAdult
LFW-3BeagleFAdultAdult
TAU-3BeagleFAdultAdult
TDU-3BeagleFAdultAdult
TKU-3BeagleFAdultAdult
UTU-3BeagleFAdultAdult
VCU-3BeagleFAdultAdult
VWU-3BeagleFAdultAdult
VYU-3BeagleFAdultAdult
WEU-3BeagleFAdultAdult
WFU-3BeagleFAdultAdult
WVU-3BeagleFAdultAdult
ZFU-3BeagleFAdultAdult
ZTU-3BeagleFAdultAdult
ZYU-3BeagleFAdultAdult
ACV-3BeagleMAdultAdult
AHV-3BeagleMAdultAdult
AWV-3BeagleMAdultAdult
AYV-3BeagleMAdultAdult
BEV-3BeagleMAdultAdult
BGV-3BeagleMAdultAdult
BQV-3BeagleMAdultAdult
CLV-3BeagleMAdultAdult
DFV-3BeagleMAdultAdult
EBV-3BeagleMAdultAdult
FOV-3BeagleMAdultAdult
GFV-3BeagleMAdultAdult
OJV-3BeagleMAdultAdult
TWV-3BeagleMAdultAdult
VBV-3BeagleMAdultAdult
WBV-3BeagleMAdultAdult
WIV-3BeagleMAdultAdult
WPV-3BeagleMAdultAdult
WTV-3BeagleMAdultAdult
XJV-3BeagleMAdultAdult
XWV-3BeagleMAdultAdult
YYV-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 35-265165
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 8081 · out 7687 · cost $0.1395
Overall confidence0.88 · cross-tier agreement 1.00
Model notes4-page CVI. Page 1 lists 7 animals (rows 1-7, breed abbreviated 'BE' = Beagle); animal 1 (AIU-3) has explicit Sex=F, Age=Adult with a ditto line running through rows 2-7 (GSU-3). Pages 2-4 are continuation sheets. Page 2 (rows 7-21): row 7 (HCU-3) has explicit F/Adult carried through ZYU-3 via ditto line. Page 3 (rows 7-21): row 7 (ACV-3) has explicit Sex=M, Age=Adult carried through VBV-3. Page 4 (rows 7-13): row 7 (WBV-3) has explicit M/Adult carried through YYV-3; rows 14-21 on page 4 are blank. Total animals listed = 7 (pg1) + 15 (pg2) + 15 (pg3) + 7 (pg4) = 44, matching the stated count. Rabies serial number 688214 and vaccination dates are explicitly shown only on the first animal of each page group but apply to all via ditto convention. The owner mailing address differs from the origin address (P.O. Box 318 Mt. Horeb vs. 10489 W. Blue Mounds Rd, Blue Mounds) — both belong to Ridglan Farms.

shrine_id 987516 · doc_class PaperCvi