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Certificate of Veterinary Inspection · issued 2025-01-06

35-265200

RIDGLAN FARMS, INC.ELANCO - FD · 32 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Elanco Animal Health

800 5TH ST NW FORT DODGE, IA 50501

State
IA
Shipped
2025-01-06
Inspected
2025-01-06
Issued
2025-01-06
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
Too young for rabies vaccination (N/A - ANIMALS TO YOUNG)
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 (1)

NameManufacturer / ProductLotAdministeredExpiresApplies to
Canine 1-PvNobivac2024-12-24all

Remarks / additional certifications

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 (32)

IDBreedSexAge / DOBColorMicrochip / tattooOther
ITW-4BeagleF2 Mos2 Mos
IVW-4BeagleF2 Mos2 Mos
IWW-4BeagleF2 Mos2 Mos
JBW-4BeagleF2 Mos2 Mos
JCW-4BeagleF2 Mos2 Mos
JDW-4BeagleF2 Mos2 Mos
JGW-4BeagleF2 Mos2 Mos
JHW-4BeagleF2 Mos2 Mos
JIW-4BeagleF2 Mos2 Mos
JJW-4BeagleF2 Mos2 Mos
JQW-4BeagleF2 Mos2 Mos
JRW-4BeagleF2 Mos2 Mos
JZW-4BeagleF2 Mos2 Mos
KAW-4BeagleF2 Mos2 Mos
KFW-4BeagleF2 Mos2 Mos
KGW-4BeagleF2 Mos2 Mos
IKX-4BeagleM2 Mos2 Mos
ILX-4BeagleM2 Mos2 Mos
IOX-4BeagleM2 Mos2 Mos
IUX-4BeagleM2 Mos2 Mos
JAX-4BeagleM2 Mos2 Mos
JEX-4BeagleM2 Mos2 Mos
JFX-4BeagleM2 Mos2 Mos
JKX-4BeagleM2 Mos2 Mos
JLX-4BeagleM2 Mos2 Mos
JUX-4BeagleM2 Mos2 Mos
JVX-4BeagleM2 Mos2 Mos
JWX-4BeagleM2 Mos2 Mos
JYX-4BeagleM2 Mos2 Mos
KCX-4BeagleM2 Mos2 Mos
KDX-4BeagleM2 Mos2 Mos
KEX-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 35-265200
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 6519 · out 6015 · cost $0.1098
Overall confidence0.82 · cross-tier agreement 1.00
Model notes3-page CVI. Page 1 lists animals 1-7 (ITW-4 through JGW-4). Page 2 lists animals 7-21 (JHW-4 through JEX-4, with a separate group starting at #16 IKX-4 as Male). Page 3 lists animals 7-16 (JFX-4 through KEX-4, all Male). The numbering on continuation pages restarts at 7 — this is a form convention where the continuation pages begin numbering from where the prior page's explicit values were. Total is stated as 32 animals. Ditto/vertical line rule applied extensively: Sex=F inherited from ITW-4 through KGW-4 (16 females); Sex=M explicitly noted for IKX-4 and carried through to KEX-4 (16 males). Age '2 Mos' carried throughout all animals. Breed 'BE' (Beagle) carried throughout. Vaccination Canine 1-Pv / Nobivac dated 12/24/24 applies to all animals per ditto lines. The serial number column shows 'YOUNG' and rabies columns show 'ANIMALS TO' / 'YOUNG' and 'N/A' indicating these puppies are too young for rabies vaccination. Owner/Agent signature shows 'Pamela A. Burke'. Mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572 which matches vet address — vet appears to also be the owner/agent contact. Some animal IDs on page 2 were partially ambiguous (JJW-4 vs JJW-4); read as clearly as possible from handwriting.

shrine_id 1094908 · doc_class PaperCvi