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Certificate of Veterinary Inspection · issued 2024-09-18

35-265172

RIDGLAN FARMS, INC.EAST TENNESSEE CLINICAL RESEARCH, INC. · 14 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

EAST TENNESSEE CLINICAL RESEARCH, INC.

80 COPPER RIDGE ROAD ROCKWOOD, TN 37854

State
TN
Shipped
2024-09-18
Inspected
2024-09-18
Issued
2024-09-18
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 2024-08-28, expires 2025-08-28, Nobivac 3-Rabies, Serial 688214
Other declarations
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-08-282025-08-28all
Canine 1-DAPPvNobivac / Nobivac Canine 1-DAPPv2024-08-28all

Remarks / additional certifications

Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (14)

IDBreedSexAge / DOBColorMicrochip / tattooOther
LAQ-3BeagleFADULTADULT
PLQ-3BeagleFADULTADULT
RZQ-3BeagleFADULTADULT
TUQ-3BeagleFADULTADULT
UAQ-3BeagleFADULTADULT
XAQ-3BeagleFADULTADULT
YFQ-3BeagleFADULTADULT
JCR-3BeagleMADULTADULT
PAR-3BeagleMADULTADULT
RDR-3BeagleMADULTADULT
RGR-3BeagleMADULTADULT
WSR-3BeagleMADULTADULT
XFR-3BeagleMADULTADULT
XTR-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 35-265172
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3471 · cost $0.0669
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (LAQ-3 through YFQ-3), all Beagles (abbreviated 'BE'). Animal 1 (LAQ-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 7-13 (JCR-3 through XTR-3); animal 7 (JCR-3) has explicit Sex=M, Age=ADULT with a ditto line through rows 8-13. The form lists 14 animals in shipment but only 13 unique IDs are listed across both pages (rows 14-21 on page 2 are blank), suggesting the count field may include animal 7 (JCR-3) which appears on both pages as a continuation anchor, or one animal ID is missing. I have returned 14 animals as stated but only 13 unique IDs were visible. Actually re-counting: page 1 has 7 animals (rows 1-7), page 2 has rows 7-13 (7 animals, with row 7 being a new animal JCR-3 starting the continuation), giving 7+7=14 — but row 7 on page 1 is YFQ-3 and row 7 on page 2 is JCR-3, so total is 13 named animals. The form header says 14 animals in shipment; I return all 13 named animals found. Vaccination data from page 1 row 1 (LAQ-3) with ditto lines through all rows indicates all animals received both Nobivac 3-Rabies and Canine 1-DAPPv on 08/28/24. Owner mailing address listed as P.O. Box 318 Mt. Horeb, WI 53572.

shrine_id 1004713 · doc_class PaperCvi