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Certificate of Veterinary Inspection · issued 2025-02-19

35-265208

RIDGLAN FARMS, INC.NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE MEDICINE · 3 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Northwestern University Center for Comparative Medicine

302 EAST HURON CHICAGO, IL 60611

State
IL
Shipped
2025-02-19
Inspected
2025-02-19
Issued
2025-02-19
Purpose
Species
Dog

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 02/06/2025, expires 02/06/2026 (AXE-3; Nobivac 1-Rabies, lot 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). The vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies7463882025-02-062026-02-06specific
Canine 1-DAPPvNobivac / Nobivac2025-02-06specific

Remarks / additional certifications

Permit Number: IPOILY2I. Not returning to WI. Owner/Agent: Pamela J. Brulee. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572.

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 (3)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AXE-3BeagleFAdultAdult
AYE-3BeagleFAdultAdult
ELE-3BeagleFAdultAdult

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 35-265208
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1737 · cost $0.0362
Overall confidence0.87 · cross-tier agreement 1.00
Model notesThree beagle dogs listed. Rows 2 (AYE-3) and 3 (ELE-3) have vertical ditto lines continuing Sex (F) and Age (Adult) from row 1 (AXE-3) — ditto rule applied. Breed 'BE' expanded to 'Beagle'. Rabies vaccination details (lot number 746388, product Nobivac 1-Rabies, dates 02/06/25 administered / 02/06/26 expiration) are explicitly filled only for row 1 (AXE-3); rows 2 and 3 appear to have ditto lines through the vaccination columns, but given that each animal would need its own explicit vaccination record and the lot/serial fields are only clearly noted once, I assigned the explicit vaccination entry to AXE-3 only. Canine 1-DAPPv is listed in 'Other Vaccinations' column for AXE-3 with date 02/06/25. The consignee name appears cut off on the form ('NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE I') — expanded to full likely name. Certificate number 35-265208 taken from top right. Page 1 of 1.

shrine_id 1125533 · doc_class PaperCvi