Certificate of Veterinary Inspection · issued 2024-11-06
35-265189
RIDGLAN FARMS, INC. → Laboratory Animal Resources Colorado State Univ. · 3 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
1351 Libbie Coy Way/North Dock Delivery Fort Collins, CO 80523
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Rabies | Nobivac / Nobivac 3-Rabies | 688214 | 2024-10-28 | 2025-10-28 | all |
| Canine 1-DAPPv | Nobivac / Nobivac | 2024-10-28 | all |
Remarks / additional certifications
Animals inspected and found free of signs of infectious, contagious and/or communicable disease.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (3)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| FOY-3 | Beagle | F | Adult | Adult | ||
| HRY-3 | Beagle | F | Adult | Adult | ||
| IAY-3 | Beagle | F | Adult | Adult |
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.
Extraction provenance
shrine_id 1052215 · doc_class PaperCvi