Certificate of Veterinary Inspection · issued 2025-02-10
35-265207
RIDGLAN FARMS, INC. → MIDWEST VETERINARY SERVICES (MVS), INC. · 62 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
Midwest Veterinary Services (MVS), Inc.
9027 GREEN VALLEY DR. MANHATTAN, KS 66502
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Rabies | Nobivac / Nobivac 1-Rabies | 746388 | 2025-01-07 | 2026-01-07 | all |
| Canine 1-DAPPv | Nobivac / Canine 1-DAPPv | 2024-10-07 | all |
Remarks / additional certifications
Owner/Agent: PAMELA J. BURKE. This form is NOT for international movement. Not returning to WI. Animals are not traveling with owner on vacation.
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). The vaccinations and results of tests are as indicated on this certificate.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (62)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| HBI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| HCI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| JBI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| JJI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| JPI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| JQI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| KJI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| KRI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| KWI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| KYI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| LLI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| LTI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| LYI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| LZI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| OAI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| OBI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| OGI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| OLI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| OVI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| OZI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| PDI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| PEI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| PGI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| PJI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| PLI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| PZI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| QKI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| QQI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| QUI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| SGI-4 | Beagle | F | 8 Mos | 8 Mos | ||
| IAJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| IEJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| IPJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| JCJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| JDJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| JGJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| JSJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| KFJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| KGJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| LBJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| LQJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| OEJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| OJJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| OKJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| OQJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| ORJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| OWJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| PBJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| PHJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| PQJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| PVJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| PWJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| QFJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| QGJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| QIJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| QPJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| SZJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| THJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| TIJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| TPJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| TYJ-4 | Beagle | M | 8 Mos | 8 Mos | ||
| UCJ-4 | Beagle | M | 8 Mos | 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.
Extraction provenance
shrine_id 1121862 · doc_class PaperCvi