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Certificate of Veterinary Inspection · issued 2024-11-06

35-265189

RIDGLAN FARMS, INC.Laboratory Animal Resources Colorado State Univ. · 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)

Colorado State University

1351 Libbie Coy Way/North Dock Delivery Fort Collins, CO 80523

State
CO
Shipped
2024-11-06
Inspected
2024-11-06
Issued
2024-11-06
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 10/28/2024, expires 10/28/2025, Nobivac 3-Rabies
Other declarations
Animals inspected and found free of signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-10-282025-10-28all
Canine 1-DAPPvNobivac / Nobivac2024-10-28all

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)

IDBreedSexAge / DOBColorMicrochip / tattooOther
FOY-3BeagleFAdultAdult
HRY-3BeagleFAdultAdult
IAY-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 35-265189
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1627 · cost $0.0346
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRows 2 and 3 (HRY-3 and IAY-3) have vertical ditto lines through Sex, Age, Rabies Vaccination Date, Rabies Exp. Date, Product & Vaccine Producer, Serial Number, Rabies Tag Number, Other Vaccinations, Date Vaccinated, and Product & Vaccine Producer columns — all inherited from row 1 (FOY-3). Breed 'BE' expanded to 'Beagle'. The Rabies tag number is explicitly 'N/A' for row 1; the ditto lines for rows 2 and 3 suggest the same. The owner mailing address shown is P.O. Box 318 Mt. Horeb, WI 53572, which differs from the origin street address (Blue Mounds); both belong to Ridglan Farms. The veterinarian's address matches the owner mailing address (Mt. Horeb). Serial number 688214 is listed in the Serial Number column, which on this form corresponds to the rabies vaccine lot/serial number. Canine 1-DAPPv product producer listed as 'Nobivac' (same column, Other Vaccinations section). Page 1 of 1.

shrine_id 1052215 · doc_class PaperCvi