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Certificate of Veterinary Inspection · issued 2025-02-05

35-265206

RIDGLAN FARMS, INC.SOUTHERN RESEARCH INSTITUTE · 4 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

SOUTHERN RESEARCH INSTITUTE

2000 9TH AVE. SOUTH BIRMINGHAM, AL 35255

State
AL
Shipped
2025-02-05
Inspected
2025-02-05
Issued
2025-02-05
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 01/07/2025 (expires 01/07/2026) - Nobivac 1-Rabies, Serial 746388 (animal HGI-4 only; rows 2-4 show ditto marks indicating same or no separate vaccination data recorded)
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on the certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies2025-01-072026-01-07specific
Canine 1-DAPPNobivac / Nobivac2024-09-25specific

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing 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 (4)

IDBreedSexAge / DOBColorMicrochip / tattooOther
HGI-4BeagleFAdultAdult
HUI-4BeagleFAdultAdult
HYJ-4BeagleMAdultAdult
IOJ-4BeagleFAdultAdult

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 35-265206
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1926 · cost $0.0391
Overall confidence0.82 · cross-tier agreement 1.00
Model notesPage 1 of 1. Animals 2 (HUI-4), 3 (HYJ-4), and 4 (IOJ-4) have their Breed (BE=Beagle) and Age columns filled with vertical ditto lines from row 1 (HGI-4), so 'Adult' age is inherited. Sex: row 1 explicitly 'F', row 2 shows a checkmark/ditto line (inherited 'F'), row 3 explicitly shows 'M', row 4 shows a ditto line (ambiguous — could inherit M from row 3, but the ditto line appears to span from row 1's 'F' group; however row 3 breaks the sequence with 'M', so row 4 likely inherits 'M' or has its own mark — recorded as 'F' based on visual ditto from row 1's group pattern, but confidence is lower for row 4 sex). Vaccination data rows 2-4 all show ditto/checkmarks throughout their vaccination columns, suggesting the same vaccines apply, but only row 1 has explicit written values (Nobivac 1-Rabies, serial 746388, Canine 1-DAPP). The ditto marks for vaccination rows 2-4 most likely indicate same vaccines apply to all 4 animals; however only row 1 has a readable serial number. Owner mailing address listed as P.O. Box 318 Mt. Horeb, WI 53572. Owner/Agent signature appears to be 'Pamela J. Burke'. The form was received by WI on Feb 12, 2025.

shrine_id 1118414 · doc_class PaperCvi