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Certificate of Veterinary Inspection · issued 2024-11-06

35-265187

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
2024-11-06
Inspected
2024-11-06
Issued
2024-11-06
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 10/15/2024, expires 10/15/2025 (CGS-3); ditto for others
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Animals meet state of destination and Federal interstate requirements.

Vaccinations (4)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac Rabies2024-10-152025-10-15specific
Canine 1-DAPPvNobivac2024-10-15specific
RabiesNobivac Rabiesspecific
Canine 1-DAPPvNobivacspecific

Remarks / additional certifications

Owner Mailing Address: P.O. Box 95, Mt. Horeb, WI 53572. Number of Animals in Shipment: 4. Not returning to WI.

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Animals meet state of destination and Federal interstate requirements.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (4)

IDBreedSexAge / DOBColorMicrochip / tattooOther
CGS-3BeagleFAdultAdult
QPQ-3BeagleFAdultAdult
EXR-3BeagleFAdultAdult
KDR-3BeagleFAdultAdult

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 35-265187 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 2147 · cost $0.0424
Overall confidence0.82 · cross-tier agreement 0.98
Model notesRows 2-4 (QPQ-3, EXR-3, KDR-3) have vertical ditto lines through Sex, Age, Rabies Vaccination Date, Rabies Vaccination Exp. Date, Product & Vaccine Producer, Serial Number, Rabies Tag Number, Other Vaccinations, Date Vaccinated, and Product & Vaccine Producer columns — all inherited from row 1 (CGS-3). The explicit values for CGS-3 are: Sex=F, Age=Adult, Rabies Vacc Date=10/15/24, Rabies Exp=10/15/25, Product=Nobivac Rabies, Serial=688214, Tag=N/A, Other Vacc=Canine 1-DAPPv, Date=10/15/24, Product=Nobivac. Row 4 (KDR-3) shows checkmark terminations at the bottom of the ditto lines confirming inheritance. The owner mailing address is partially obscured but reads approximately 'P.O. Box 95 Mt. Horeb, WI 53572'. Breed abbreviation 'BE' expanded to 'Beagle'. CGS-3 rabies serial number read as 688214.

shrine_id 1052216 · doc_class PaperCvi