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Certificate of Veterinary Inspection · issued 2024-09-11

35-265168

RIDGLAN FARMS, INC. → TEXAS A&M UNIVERSITY · 16 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Texas A&M University

1000 MSRB DR. BUILDING 1911 COLLEGE STATION, TX 77843

State
TX
Shipped
2024-09-11
Inspected
2024-09-11
Issued
2024-09-11
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 2024-09-06, expires 2024-09-06 (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 (except where noted). Vaccinations and test results are as indicated on this certificate. Animals meet state of destination and Federal interstate requirements.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-09-062025-09-06all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2024-09-06all

Remarks / additional certifications

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

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (16)

IDBreedSexAge / DOBColorMicrochip / tattooOther
FSS-3BeagleFAdultAdult
HUW-3BeagleFAdultAdult
HXW-3BeagleFAdultAdult
LGW-3BeagleFAdultAdult
PHW-3BeagleFAdultAdult
PSW-3BeagleFAdultAdult
UFQ-3BeagleFAdultAdult
XPU-3BeagleFAdultAdult
IHV-3BeagleM
JLV-3BeagleM
JSV-3BeagleM
KVX-3BeagleM
ODX-3BeagleM
PRX-3BeagleM
QJX-3BeagleM
QVX-3BeagleM

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 35-265168 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3664 · cost $0.0698
Overall confidence0.88 · cross-tier agreement 1.00
Model notesPage 1 lists animals 1-7 (FSS-3 through UFQ-3), all breed 'BE' (Beagle). Row 1 (FSS-3) has explicit Sex=F, Age=Adult. Rows 2-7 have vertical ditto lines through Sex and Age columns, terminating with a checkmark at row 7, so F/Adult is inherited for all. Page 2 (continuation) lists animals 7-15 (XPU-3 through QVX-3). Row 7 (XPU-3) explicitly shows F, Adult. Row 8 (IHV-3) explicitly shows M with no age; rows 9-15 have ditto lines from IHV-3 group through QVX-3, so M is inherited. Ages for rows 8-15 are blank/no explicit value and no ditto line for age visible from row 8 onward, so age is set to null for those animals. Rabies vaccination data (product, serial, dates) is only explicitly filled in for FSS-3 on page 1 and XPU-3 on page 2, but the ditto/vertical line convention and the form's structure indicate the same vaccination applies to all 16 animals. The owner mailing address differs slightly from origin address (PO Box 318 Mt. Horeb vs 10489 W. Blue Mounds Road), both belonging to Ridglan Farms. Consignor owner/agent signature shows 'Romella J. Blulke' (approximate reading). Certificate number 35-265168 appears on both pages.

shrine_id 1002614 · doc_class PaperCvi