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Certificate of Veterinary Inspection · issued 2024-10-21

35-265180

RIDGLAN FARMS, INC. → T.R.S. LAB · 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)

T.R.S. LAB

215 PARADISE BLVD ATHENS, GA 30607

State
GA
Shipped
2024-10-21
Inspected
2024-10-21
Issued
2024-10-21
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 10/08/2024; expires 10/08/2026 (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 3-Rabies2024-10-082026-10-08specific
Canine 1-DAPPvNobivac2024-10-08specific

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 (4)

IDBreedSexAge / DOBColorMicrochip / tattooOther
PVB-4BeagleMAdultAdult
QSB-4BeagleMAdultAdult
UFB-4BeagleMAdultAdult
UTB-4BeagleMAdultAdult

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 35-265180 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1774 · cost $0.0368
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRows 2-4 (QSB-4, UFB-4, UTB-4) have vertical ditto lines through Sex, Age, and all vaccination/other columns, inheriting 'M' and 'Adult' from row 1 (PVB-4). Vaccination details (Rabies and Canine 1-DAPPv/Nobivac) are explicitly recorded only for PVB-4 in row 1; rows 2-4 have vertical lines through vaccination columns but no explicit values or terminal checkmarks indicating actual vaccination data for those animals — the lines appear to be continuation marks from the group header rather than confirmed vaccination records for QSB-4, UFB-4, UTB-4. Breed 'BE' expanded to 'Beagle'. The Rabies tag number is listed as 'N/A'. Owner mailing address listed as P.O. Box 318 Mt. Horeb, WI 53572. The form is page 1 of 1. Serial number 688214 appears to be the rabies vaccine serial number.

shrine_id 1033961 · doc_class PaperCvi