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Certificate of Veterinary Inspection · issued 2025-05-25

35-265233

RIDGLAN FARMS, INC.BAYSIDE PRECLINICAL SERVICES, INC. · 10 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

BAYSIDE PRECLINICAL SERVICES, INC.

5415 SILVEYVILLE RD. DIXON, CA 95620

State
CA
Shipped
2025-05-25
Inspected
2025-05-25
Issued
2025-05-25
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 04/29/2025 with Nobivac 1-Rabies; expires 04/29/2026
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious, and/or communicable disease (except where noted).

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies2025-04-292026-04-29all
Canine 1-DAPPvNobivac / Nobivac (Canine 1-DAPPv)2025-04-29all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious, and/or communicable disease (except where noted).

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (10)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DHH-4BeagleM1 YR1 YR
RSF-4BeagleM1 YR1 YR
RYF-4BeagleM1 YR1 YR
SDF-4BeagleM1 YR1 YR
UOH-4BeagleM1 YR1 YR
VWH-4BeagleM1 YR1 YR
VXH-4BeagleM1 YR1 YR
WGH-4BeagleM1 YR1 YR
WRH-4BeagleM1 YR1 YR
XJH-4BeagleM1 YR1 YR

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 35-265233
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 2767 · cost $0.0564
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (DHH-4 through VXH-4); page 2 lists animals 7-9 (WGH-4, WRH-4, XJH-4) as continuation (numbered 7, 8, 9 on page 2). Total animals = 10 per shipment header but only 9 individual IDs are explicitly listed across both pages (rows 10-21 on page 2 are blank). The ditto/vertical-line convention was applied: DHH-4 has explicit M / 1 YR; all subsequent animals on page 1 and page 2 carry those values forward via vertical ditto lines. Rabies tag serial number 746388 appears for DHH-4 on page 1 and WGH-4 on page 2 — this may reflect the same serial number printed on the vaccine vial rather than individual tag numbers. The 'Other Vaccinations' column shows Canine 1-DAPPv administered 04/29/25 for DHH-4, with ditto lines implying it applies to all animals. Owner/Agent signed by Pamela J. Burlee. National Accreditation number (NAN) is 033491.

shrine_id 1196744 · doc_class PaperCvi