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Certificate of Veterinary Inspection · issued 2024-12-02

35-265194

RIDGLAN FARMS, INC.T.R.S. LAB · 18 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
2024-12-02
Inspected
2024-12-02
Issued
2024-12-02
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 11/26/2024, expires 11/26/2025, Nobivac 3-Rabies, Serial 688214
Other declarations
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-11-262025-11-26all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2024-11-26all

Remarks / additional certifications

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

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (18)

IDBreedSexAge / DOBColorMicrochip / tattooOther
KDO-4BeagleF4 Mos4 Mos
KUO-4BeagleF4 Mos4 Mos
KXO-4BeagleF4 Mos4 Mos
LCO-4BeagleF4 Mos4 Mos
LWO-4BeagleF4 Mos4 Mos
PRO-4BeagleF4 Mos4 Mos
PSO-4BeagleF4 Mos4 Mos
QBO-4BeagleF4 Mos4 Mos
QFO-4BeagleF4 Mos4 Mos
QRO-4BeagleF4 Mos4 Mos
RAO-4BeagleF4 Mos4 Mos
RKO-4BeagleF4 Mos4 Mos
SEO-4BeagleF4 Mos4 Mos
SGO-4BeagleF4 Mos4 Mos
SLO-4BeagleF4 Mos4 Mos
SSO-4BeagleF4 Mos4 Mos
SYO-4BeagleF4 Mos4 Mos
VGO-4BeagleF4 Mos4 Mos

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 35-265194
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3971 · cost $0.0744
Overall confidence0.88 · cross-tier agreement 1.00
Model notesPage 1 lists animals 1-7 (BE/Beagle abbreviation) and Page 2 lists animals 7-18 (spelled out as BEAGLE). Animal #7 QBO-4 appears on page 2 as the first entry with explicit values (F, 4 Mos, 11/26/24 rabies, Nobivac 3-Rabies, serial 688214, N/A rabies tag, Canine 1-DAPPv, 11/26/24, Nobivac). Ditto lines run through all animals on both pages from animal 1 (KDO-4) through animal 17 (VGO-4), indicating all share Sex=F, Age=4 Mos, same vaccinations. Animals 18-21 rows on page 2 are blank with no IDs filled in — only 17 named animals are listed despite the form header stating 18 animals in shipment; rows 18-21 are empty and not included. The owner mailing address on page 1 shows P.O. Box 318 Mt. Horeb, WI 53572 which differs from the origin street address (Blue Mounds); both belong to Ridglan Farms. Serial number 688214 is listed for the rabies vaccine on both page 1 (row 1) and page 2 (row 7), confirming it applies to all animals via the ditto convention.

shrine_id 1071622 · doc_class PaperCvi