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Certificate of Veterinary Inspection · issued 2025-05-14

35-265231

RIDGLAN FARMS, INC. → T.R.S. LAB · 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)

T.R.S. LAB

215 PARADISE BLVD ATHENS, GA 30607

State

Shipped

2025-05-14

Inspected

2025-05-14

Issued

2025-05-14

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 05/08/2025; Expires 05/08/2026; Nobivac 1-Rabies; Serial 746388

Other declarations

Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

Name	Manufacturer / Product	Lot	Administered	Expires	Applies to
Rabies	Nobivac / Nobivac 1-Rabies	746388	2025-05-08	2026-05-08	all
Canine 1-DAPPv	Nobivac / Nobivac		2025-01-22		all

Remarks / additional certifications

Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (4)

ID	Breed	Sex	Age / DOB	Other
QET-4	Beagle	M	8 Mos	8 Mos
TIT-4	Beagle	M	8 Mos	8 Mos
TRT-4	Beagle	M	8 Mos	8 Mos
TYT-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.

Open CVI 35-265231 ↗

Extraction provenance

Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware

Extracted2026-05-27 00:37:50

Tokensin 3395 · out 1769 · cost $0.0367

Overall confidence0.91 · cross-tier agreement 1.00

Model notesRows 2-4 (TIT-4, TRT-4, TYT-4) inherit Sex (M), Age (8 Mos), Breed (Beagle), and all vaccination/health data from row 1 (QET-4) via vertical ditto lines terminating with a checkmark/tick at row 4. Rabies vaccination date on form reads '05/08/25' interpreted as 2025-05-08; expiry '05/08/26' interpreted as 2026-05-08. Other vaccination (Canine 1-DAPPv) date reads '01/22/25' interpreted as 2025-01-22. Mailing address for consignor listed as P.O. Box 318 Mt. Horeb, WI 53572 (same as vet address). Owner/Agent signature appears to read 'Pamela J. Burke' or similar. CVI number 35-265231 taken from top right. Page 1 of 1.

shrine_id 1190936 · doc_class PaperCvi