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Certificate of Veterinary Inspection · issued 2024-10-16

35-265182

RIDGLAN FARMS, INC.HIGH QUALITY RESEARCH · 5 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

HIGH QUALITY RESEARCH

2625 MIDPOINT DRIVE, #D FT. COLLINS, CO 80525

State
CO
Shipped
2024-10-16
Inspected
2024-10-16
Issued
2024-10-16
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 10/11/2024; expires 10/11/2025; Nobivac 3-Rabies
Other declarations
Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-10-112025-10-11all
Canine 1-DAPPvNobivac / Nobivac2024-10-11all

Remarks / additional certifications

Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (5)

IDBreedSexAge / DOBColorMicrochip / tattooOther
ACZ-3BeagleMADULTADULT
BKZ-3BeagleMADULTADULT
IKZ-3BeagleMADULTADULT
SVB-4BeagleMADULTADULT
VPB-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 35-265182
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1974 · cost $0.0398
Overall confidence0.88 · cross-tier agreement 1.00
Model notesSingle page CVI. Rows 2-5 (BKZ-3, IKZ-3, SVB-4, VPB-4) all carry forward Sex=M, Age=ADULT, Breed=BE (Beagle) via vertical ditto lines from row 1 (ACZ-3). The rabies vaccination details (date 10/11/24, expiry 10/11/25, Nobivac 3-Rabies) and the serial number 688214 / Rabies Tag N/A are explicitly shown only for row 1; the ditto lines extend through all 5 rows indicating the same applies to all animals. The Canine 1-DAPPv (Nobivac) other vaccination with date 10/11/24 is also shown for row 1 with ditto lines continuing through all rows. Owner/Agent signature name reads as 'Pamela G. Burke'. The owner mailing address differs slightly from origin address: P.O. Box 318 Mt. Horeb, WI 53572. 'Not returning to WI' is checked. Shipping date 10/16/2024.

shrine_id 1029786 · doc_class PaperCvi