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Certificate of Veterinary Inspection · issued 2024-10-02

35-265176

RIDGLAN FARMS, INC. → WASHINGTON UNIVERSITY IN ST. LOUIS · 4 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

WASHINGTON UNIVERSITY IN ST. LOUIS

4940 PARKVIEW PLACE ST. LOUIS, MO 63110

State
MO
Shipped
2024-10-02
Inspected
2024-10-02
Issued
2024-10-02
Purpose
—
Species
Dog

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 09/25/2024, expires 09/25/2025, Nobivac 3-Rabies
Other declarations
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Animals are not returning to WI.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-09-252025-09-25all
Canine 1-DAPPvNobivac / Nobivac2024-09-25all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Animals are not returning to WI.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (4)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DCT-3BeagleMAdult688214Adult
DDT-3BeagleMAdultAdult
EQV-3BeagleMAdultAdult
GLV-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 35-265176 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1790 · cost $0.0370
Overall confidence0.88 · cross-tier agreement 1.00
Model notesPage 1 of 1. Rows 2-4 (DDT-3, EQV-3, GLV-3) have vertical ditto lines carrying forward Sex (M), Age (Adult), and Breed (BE=Beagle) from row 1 (DCT-3). Row 4 (GLV-3) also has ditto marks extending through the vaccination columns, indicating the same rabies and other vaccination info applies. The serial number 688214 appears in row 1 and may apply only to DCT-3 or may be a batch/lot reference; extracted as microchip for DCT-3 since it appears in the Serial Number column. The Rabies Tag is listed as N/A for row 1; ditto lines suggest same for other rows. Owner mailing address differs from origin address: P.O. Box 318 Mt. Horeb, WI 53572 vs 10489 W. Blue Mounds Road, Blue Mounds, WI 53517. Owner/Agent Signature appears to read 'Pamela J. Burke'.

shrine_id 1016362 · doc_class PaperCvi