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Certificate of Veterinary Inspection · issued 2024-10-07

35-265179

RIDGLAN FARMS, INC. → T.R.S. LAB · 24 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

Shipped

2024-10-07

Inspected

2024-10-07

Issued

2024-10-07

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 09/26/2024, expires 09/26/2025, 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). The vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

Name	Manufacturer / Product	Lot	Administered	Expires	Applies to
Rabies	Nobivac / Nobivac 3-Rabies	688214	2024-09-26	2025-09-26	all
Canine 1-DAPPv	Nobivac / Nobivac (Canine 1-DAPPv)		2024-07-17		all

Remarks / additional certifications

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (24)

ID	Breed	Sex	Age / DOB	Other
APC-4	Beagle	F	7-8 Mos	7-8 Mos
DWC-4	Beagle	F	7-8 Mos	7-8 Mos
FJC-4	Beagle	F	7-8 Mos	7-8 Mos
GAC-4	Beagle	F	7-8 Mos	7-8 Mos
GKE-4	Beagle	F	7-8 Mos	7-8 Mos
IRE-4	Beagle	F	7-8 Mos	7-8 Mos
JIE-4	Beagle	F	7-8 Mos	7-8 Mos
JJE-4	Beagle	F	7-8 Mos	7-8 Mos
JKE-4	Beagle	F	7-8 Mos	7-8 Mos
KWE-4	Beagle	F	7-8 Mos	7-8 Mos
LZE-4	Beagle	F	7-8 Mos	7-8 Mos
QSE-4	Beagle	F	7-8 Mos	7-8 Mos
EQD-4	Beagle	M	7-8 Mos	7-8 Mos
FBD-4	Beagle	M	7-8 Mos	7-8 Mos
GGF-4	Beagle	M	7-8 Mos	7-8 Mos
LIF-4	Beagle	M	7-8 Mos	7-8 Mos
LQF-4	Beagle	M	7-8 Mos	7-8 Mos
LVF-4	Beagle	M	7-8 Mos	7-8 Mos
OEF-4	Beagle	M	7-8 Mos	7-8 Mos
OKF-4	Beagle	M	7-8 Mos	7-8 Mos
OQF-4	Beagle	M	7-8 Mos	7-8 Mos
PXF-4	Beagle	M	7-8 Mos	7-8 Mos
QRF-4	Beagle	M	7-8 Mos	7-8 Mos
RTF-4	Beagle	M	7-8 Mos	7-8 Mos

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 35-265179 ↗

Extraction provenance

Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware

Extracted2026-05-27 00:37:50

Tokensin 6519 · out 5112 · cost $0.0962

Overall confidence0.87 · cross-tier agreement 1.00

Model notesThree-page CVI. Page 1 lists animals 1-7 (APC-4 through JIE-4), page 2 lists animals 7-21 (JJE-4 through PXF-4, numbered starting again at 7 on continuation page), page 3 lists animals 7-8 (QRF-4 and RTF-4, again starting at 7). The numbering on continuation pages restarts at 7 but these are clearly the remaining animals in the sequence totaling 24. Sex and age ditto lines are applied: APC-4 is explicitly F, 7-8 Mos; all subsequent females (DWC-4 through JIE-4 on page 1, JJE-4 through QSE-4 on page 2) inherit F via vertical ditto line. EQD-4 is explicitly M; subsequent males (FBD-4 through PXF-4 on page 2, QRF-4 on page 3) inherit M. RTF-4 on page 3 has a ditto arrow indicating inherited values from QRF-4 (M, 7-8 Mos). Rabies vaccination serial number 688214 appears on page 1, page 2 row 7, and page 3 row 7, confirming same batch applies to all animals. The veterinarian's license number appears as 404991 on pages 2-3 and as 404991 on page 1 (printed field shows 404991, accreditation 033491). Owner mailing address shown as P.O. Box 318 Mt. Horeb, WI 53572 which differs from origin street address (Blue Mounds); this is the vet's address not the consignor's PO box — the vet address is captured in the vet field.

shrine_id 1024354 · doc_class PaperCvi