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Certificate of Veterinary Inspection · issued 2024-09-16

35-265169

RIDGLAN FARMS, INC.T.R.S. LAB · 22 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
2024-09-16
Inspected
2024-09-16
Issued
2024-09-16
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 09/12/2024, expires 09/12/2025, 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 (except where noted). Vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-09-122025-09-12all
Canine 1-DAPPvNobivac / Nobivac2024-09-12all

Remarks / additional certifications

Owner/Agent: Pamela Jo Burke. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Shipment of 22 dogs. Shipping date 9/16/2024.

Veterinarian certifies animals have been inspected and are not showing 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 (22)

IDBreedSexAge / DOBColorMicrochip / tattooOther
ABS-3BeagleFADULTADULT
AZS-3BeagleFADULTADULT
BBS-3BeagleFADULTADULT
BZS-3BeagleFADULTADULT
CLS-3BeagleFADULTADULT
DHS-3BeagleFADULTADULT
YYS-3BeagleFADULTADULT
ZCS-3BeagleFADULTADULT
ZDS-3BeagleFADULTADULT
ZQS-3BeagleFADULTADULT
ZTS-3BeagleFADULTADULT
AGT-3BeagleMADULTADULT
AUT-3BeagleMADULTADULT
AXT-3BeagleMADULTADULT
BTT-3BeagleMADULTADULT
CKT-3BeagleMADULTADULT
EJT-3BeagleMADULTADULT
VRR-3BeagleMADULTADULT
VYR-3BeagleMADULTADULT
WBR-3BeagleMADULTADULT
ZGT-3BeagleMADULTADULT
ZPT-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 35-265169
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 4596 · cost $0.0838
Overall confidence0.88 · cross-tier agreement 1.00
Model notesPage 1 lists animals 1–7 (IDs: ABS-3 through YYS-3) as breed 'BE' (Beagle). Animal 1 (ABS-3) has explicit Sex=F, Age=ADULT; a vertical ditto line runs through rows 2–7, so all inherit F/ADULT. Page 2 lists animals 7–21 (continuation); animal 7 on page 2 is ZCS-3 (F, ADULT, explicit); rows 8–10 (ZDS-3, ZQS-3, ZTS-3) inherit F via ditto line. Animal 11 (AGT-3) has explicit M; rows 12–21 inherit M via ditto line terminating at ZPT-3 with a checkmark. The vaccination data (Nobivac 3-Rabies + Canine 1-DAPPv, dated 09/12/24) is explicitly shown only for ABS-3 on page 1 and ZCS-3 on page 2, but the ditto lines spanning all rows strongly indicate these vaccinations apply to all 22 animals. Serial number 688214 shown on both pages. Lot expiration date not explicitly written on form. Page 2 breed listed as 'BEAGLE' confirming abbreviation 'BE' = Beagle. Owner mailing address differs from origin address (P.O. Box 318 vs 10489 W. Blue Mounds Rd) but both belong to Ridglan Farms, Inc.

shrine_id 1004731 · doc_class PaperCvi