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Certificate of Veterinary Inspection · issued 2024-12-11

35-265196

RIDGLAN FARMS, INC.EAST TENNESSEE CLINICAL RESEARCH, INC. · 8 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

EAST TENNESSEE CLINICAL RESEARCH, INC.

80 COPPER RIDGE ROAD ROCKWOOD, TN 37854

State
TN
Shipped
2024-12-11
Inspected
2024-12-11
Issued
2024-12-11
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
Animals too young for rabies vaccination; Rabies Tag N/A
Other declarations
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on the certificate.

Vaccinations (1)

NameManufacturer / ProductLotAdministeredExpiresApplies to
Canine ParvoNOBIVAC2024-12-04all

Remarks / additional certifications

Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on the certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (8)

IDBreedSexAge / DOBColorMicrochip / tattooOther
WWU-4BeagleF2 Mos2 Mos
XGU-4BeagleF2 Mos2 Mos
YXU-4BeagleF2 Mos2 Mos
YZU-4BeagleF2 Mos2 Mos
XKV-4BeagleM2 Mos2 Mos
XUV-4BeagleM2 Mos2 Mos
ZFV-4BeagleM2 Mos2 Mos
ZKV-4BeagleM2 Mos2 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 35-265196
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 2336 · cost $0.0499
Overall confidence0.82 · cross-tier agreement 1.00
Model notesPage 1 lists animals 1-7 (WWU-4 through ZFV-4); Page 2 (continuation) lists animal 7 again as ZKV-4 starting at row 7 — treated as the 8th animal distinct from ZFV-4 on page 1, consistent with total count of 8. Sex column on page 1: row 1 (WWU-4) shows 'F', ditto line runs through rows 2-4 (XGU-4, YXU-4, YZU-4); row 5 (XKV-4) shows 'M', ditto line runs through rows 6-7 (XUV-4, ZFV-4) and continues to page 2 row 7 (ZKV-4 explicitly marked M). Age of '2 Mos' shown explicitly for row 1 and page 2 row 7; ditto rule applied to all intermediate rows. Rabies vaccination column shows 'ANIMALS TO YOUNG' spanning all rows (ditto), interpreted as animals too young for rabies vaccination. NOBIVAC Canine Parvo vaccine dated 12/04/24 applied to all 8 animals via ditto lines. Owner/Agent signature shows 'Pamula G Burke'. Mailing address for consignor listed as P.O. Box 318 Mt. Horeb, WI 53572.

shrine_id 1077390 · doc_class PaperCvi