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Certificate of Veterinary Inspection · issued 2025-01-29

35-265204

RIDGLAN FARMS, INC.EAST TENNESSEE CLINICAL RESEARCH, INC. · 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)

EAST TENNESSEE CLINICAL RESEARCH, INC.

80 COPPER RIDGE ROAD ROCKWOOD, TN 37854

State
TN
Shipped
2025-01-29
Inspected
2025-01-29
Issued
2025-01-29
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 2025-01-27, expires 2026-01-27, Nobivac 1-Rabies, Serial 746388
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-Rabies7463882025-01-272026-01-27all
Canine 1-DAPPvNobivac / Nobivac Canine 1-DAPPv2024-11-19all

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 (18)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AFK-4BeagleF7-8 Mos7-8 Mos
AQK-4BeagleF7-8 Mos7-8 Mos
BDK-4BeagleF7-8 Mos7-8 Mos
BOK-4BeagleF7-8 Mos7-8 Mos
CSK-4BeagleF7-8 Mos7-8 Mos
VBI-4BeagleF7-8 Mos7-8 Mos
VYI-4BeagleF7-8 Mos7-8 Mos
ZEK-4BeagleF7-8 Mos7-8 Mos
ZGK-4BeagleF7-8 Mos7-8 Mos
AAL-4BeagleM7-8 Mos7-8 Mos
ADL-4BeagleM7-8 Mos7-8 Mos
ALL-4BeagleM7-8 Mos7-8 Mos
BFL-4BeagleM7-8 Mos7-8 Mos
BJL-4BeagleM7-8 Mos7-8 Mos
EOL-4BeagleM7-8 Mos7-8 Mos
FBL-4BeagleM7-8 Mos7-8 Mos
XRL-4BeagleM7-8 Mos7-8 Mos
XYL-4BeagleM7-8 Mos7-8 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 35-265204
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 5005 · out 4230 · cost $0.0785
Overall confidence0.82 · cross-tier agreement 1.00
Model notesThis is a 2-page CVI. Page 1 lists animals 1-7 (IDs: AFK-4 through VYI-4) with breed abbreviated 'BE' (Beagle). Page 2 lists animals 7-18 (IDs: ZEK-4 through XYL-4) with breed spelled 'BEAGLE'. The ditto/vertical line rule was applied extensively: on page 1, AFK-4 (row 1) has explicit Sex=F, Age=7-8 Mos; a vertical ditto line runs through rows 2-7, so all inherit F and 7-8 Mos. On page 2, ZEK-4 (row 7) has explicit Sex=F and Age=7-8 Mos with a ditto line through ZGK-4 (row 8). AAL-4 (row 9) has explicit Sex=M; ditto line continues through ADL-4 to XYL-4 (rows 10-17) inheriting M and 7-8 Mos age. Rows 18-21 on page 2 appear blank with no IDs filled in, consistent with the total of 18 animals stated on the form — those blank rows are not included. Both vaccinations (Rabies and Canine 1-DAPPv) appear to apply to all 18 animals based on the ditto lines visible on both pages. The mailing address for the owner is listed as P.O. Box 318 Mt. Horeb, WI 53572 (different from the street address). The veterinarian's address is also P.O. Box 318 Mt. Horeb, WI 53572 — consistent with the vet being associated with Ridglan Farms. Age for AAL-4 group on page 2 was inherited as 7-8 Mos from the established pattern, though the age cell for AAL-4 appears blank — carried forward from ZEK-4's explicit value.

shrine_id 1111019 · doc_class PaperCvi