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Certificate of Veterinary Inspection · issued 2025-09-04

35-265190

RIDGLAN FARMS, INC. → IIT RESEARCH INSTITUTE · 1 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2025-09-04
Inspected
2025-09-04
Issued
2025-09-04
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 09/04/2025, expires 09/04/2026, Nobivac 1-Rabies
Other declarations
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies2025-09-042026-09-04specific
Canine 1-DAPPNobivac / Nobivac2025-09-04specific

Remarks / additional certifications

Permit Number: IPOIYJPG. Not returning to WI. Number of Animals in Shipment: 1.

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (1)

IDBreedSexAge / DOBColorMicrochip / tattooOther
TBP-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 35-265190 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1332 · cost $0.0302
Overall confidence0.92 · cross-tier agreement 1.00
Model notesSingle animal on the certificate (row 1 only). Breed 'BE' expanded to 'Beagle' per standard abbreviation. Serial Number 746388 recorded in other_ids as it appears in the Serial Number column rather than a microchip field. Rabies tag listed as N/A. Two vaccinations recorded: Rabies (Nobivac 1-Rabies) and Canine 1-DAPP (Nobivac) — both administered 09/04/2025. The 'Other Vaccinations' column shows 'Canine 1-DAPPv' with date 09/04/25 and producer Nobivac. Expiry date for Rabies read as 09/04/26 (one year). Owner/agent signature name partially legible as 'Pamela G. Burke'. Permit number read as IPOIYJPG (handwritten, some characters uncertain). Only one page.

shrine_id 1270518 · doc_class PaperCvi