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Certificate of Veterinary Inspection · issued 2024-10-28

35-265185

RIDGLAN FARMS, INC. → BAYSIDE PRECLINICAL SERVICES, INC. · 3 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

BAYSIDE PRECLINICAL SERVICES, INC.

5415 SILVEYVILLE RD. DIXON, CA 95620

State
CA
Shipped
2024-10-28
Inspected
2024-10-28
Issued
2024-10-28
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 10/16/2024, expires 10/16/2025, Nobivac 3-Rabies
Other declarations
Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease. No warranty is made or implied.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-10-162025-10-16all
Canine 1-DAPPvNobivac / Nobivac2024-10-16all

Remarks / additional certifications

Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease. No warranty is made or implied.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (3)

IDBreedSexAge / DOBColorMicrochip / tattooOther
LQR-3BeagleMAdult688214Adult
TXR-3BeagleMAdultAdult
WQR-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 35-265185 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1679 · cost $0.0354
Overall confidence0.88 · cross-tier agreement 1.00
Model notesThree Beagle (BE) dogs listed. Row 1 (LQR-3) has explicit values for sex (M), age (Adult), rabies vaccination date (10/16/24), expiration (10/16/25), product (Nobivac 3-Rabies), serial number (688214), rabies tag (N/A), other vaccination (Canine 1-DAPPv, date 10/16/24, Nobivac). Rows 2 (TXR-3) and 3 (WQR-3) have vertical ditto lines through Sex, Age, and all vaccination columns, inheriting all values from row 1. The microchip field shows '688214' in row 1's Serial Number column — this appears to be a serial/lot number for the rabies vaccine rather than a microchip ID, so it has been recorded in both the vaccination serial number and cautiously in microchip for row 1 only. Row 2 (TXR-3) breed is listed as 'BE' with the breed column appearing to continue from row 1 via ditto. Owner mailing address shows P.O. Box 318 Mt. Horeb, WI 53572. Date inspected and CVI issued both 10/28/2024. Page 1 of 1.

shrine_id 1041776 · doc_class PaperCvi