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Certificate of Veterinary Inspection · issued 2024-12-18

35-265198

RIDGLAN FARMS, INC. → UNIVERSITY OF MISSOURI VET. MED. BLDG · 25 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone

608-437-8670

Consignee (buyer)

University of Missouri

1520 ROLLINS STREET COLUMBIA, MO 65201

State

Shipped

2024-12-18

Inspected

2024-12-18

Issued

2024-12-18

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

033491

USDA accreditation

404991

Health declarations

Rabies

Vaccinated 2024-12-04, expires 2025-12-04, Nobivac 3-Rabies

Other declarations

Veterinarian certifies animals have been inspected and are showing no signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

Name	Manufacturer / Product	Lot	Administered	Expires	Applies to
Rabies	Nobivac / Nobivac 3-Rabies	688214	2024-12-04	2025-12-04	all
Canine 1-DAPPv	Nobivac / Nobivac		2024-09-11		all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are showing no signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (25)

ID	Breed	Sex	Age / DOB	Other
DBG-4	Beagle	F	7-8 MOS	7-8 MOS
DDG-4	Beagle	F	7-8 MOS	7-8 MOS
DRG-4	Beagle	F	7-8 MOS	7-8 MOS
DTG-4	Beagle	F	7-8 MOS	7-8 MOS
FAG-4	Beagle	F	7-8 MOS	7-8 MOS
FRG-4	Beagle	F	7-8 MOS	7-8 MOS
GJG-4	Beagle	F	7-8 MOS	7-8 MOS
GXG-4	Beagle	F	7-8 MOS	7-8 MOS
HOG-4	Beagle	F	7-8 MOS	7-8 MOS
HQG-4	Beagle	F	7-8 MOS	7-8 MOS
JRI-4	Beagle	F	7-8 MOS	7-8 MOS
JTI-4	Beagle	F	7-8 MOS	7-8 MOS
DPH-4	Beagle	M	7-8 MOS	7-8 MOS
EXH-4	Beagle	M	7-8 MOS	7-8 MOS
EYH-4	Beagle	M	7-8 MOS	7-8 MOS
FLH-4	Beagle	M	7-8 MOS	7-8 MOS
FUH-4	Beagle	M	7-8 MOS	7-8 MOS
GEH-4	Beagle	M	7-8 MOS	7-8 MOS
GFH-4	Beagle	M	7-8 MOS	7-8 MOS
HWJ-4	Beagle	M	7-8 MOS	7-8 MOS
IGH-4	Beagle	M	7-8 MOS	7-8 MOS
JLJ-4	Beagle	M	7-8 MOS	7-8 MOS
KLJ-4	Beagle	M	7-8 MOS	7-8 MOS
KOJ-4	Beagle	M	7-8 MOS	7-8 MOS
QXJ-4	Beagle	M	7-8 MOS	7-8 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 35-265198 ↗

Extraction provenance

Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware

Extracted2026-05-27 00:37:50

Tokensin 6519 · out 5176 · cost $0.0972

Overall confidence0.82 · cross-tier agreement 1.00

Model notesPage 1 lists animals 1-7 (DBG-4 through GJG-4), page 2 lists animals 7-21 (GXG-4 through JLJ-4), page 3 lists animals 7-9 on its continuation numbering (KLJ-4, KOJ-4, QXJ-4) — totaling 25 animals as stated on the form. Sex for the first group (DBG-4 through GXG-4) is F as explicitly stated for DBG-4 with a ditto line running through row 7 (GJG-4) on page 1, and GXG-4 on page 2 also shows F explicitly. JTI-4 (row 11, page 2) has a checkmark in sex column consistent with ditto F. DPH-4 is explicitly M, and ditto carries M forward through JLJ-4 (row 21, page 2). KLJ-4 on page 3 is explicitly M, with ditto through KOJ-4 and QXJ-4. Age of 7-8 MOS is explicitly stated for DBG-4 on page 1 and GXG-4 on page 2 and KLJ-4 on page 3; all other animals inherit via ditto. Both vaccination entries (Rabies and Canine 1-DAPPv) appear to apply to all 25 animals based on the form's ditto convention. The owner/agent signatures show 'Pamela J. Burke'. Mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572.

shrine_id 1082450 · doc_class PaperCvi