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Certificate of Veterinary Inspection · issued 2025-05-28

35-265234

RIDGLAN FARMS, INC. → MOUNTAIN WEST RESEARCH · 44 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

MOUNTAIN WEST RESEARCH

6200 EAST CTY R 56 FT. COLLINS, CO 80524

State
CO
Shipped
2025-05-28
Inspected
2025-06-28
Issued
2025-05-28
Purpose
—
Species
Dogs (Beagles and mixed/BE breed)

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 05/23/2025, expires 05/23/2026, Nobivac 1-Rabies, Serial 746388
Other declarations
Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease. Vaccinations and test results meet state of destination and Federal Interstate requirements.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies7463882025-05-232026-05-23all
Canine 1-DAPPvNobivac / Canine 1-DAPPv (Nobivac)2025-05-23all

Remarks / additional certifications

Owner/Consignor mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Number of animals in shipment: 44. Shipping date: 5/28/2025. Date inspected: 6/28/2025. Date CVI issued: 5/28/2025.

Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease. Vaccinations and test results meet state of destination and Federal Interstate requirements.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (44)

IDBreedSexAge / DOBColorMicrochip / tattooOther
BGQ-4BeagleFAdultAdult
BJQ-4BeagleFAdultAdult
BPQ-4BeagleFAdultAdult
BSQ-4BeagleFAdultAdult
BZQ-4BeagleFAdultAdult
CHQ-4BeagleFAdultAdult
CIQ-4BeagleFAdultAdult
CRQ-4BeagleFAdultAdult
CZK-4BeagleFAdultAdult
ERK-4BeagleFAdultAdult
HDS-4BeagleFAdultAdult
IRO-4BeagleFAdultAdult
ISO-4BeagleFAdultAdult
JCO-4BeagleFAdultAdult
LOS-4BeagleFAdultAdult
RFO-4BeagleFAdultAdult
TSQ-4BeagleFAdultAdult
UKQ-4BeagleFAdultAdult
VGI-4BeagleFAdultAdult
XHO-4BeagleFAdultAdult
XLQ-4BeagleFAdultAdult
ZXQ-4BeagleFAdultAdult
CCH-4BeagleMAdultAdult
CPH-4BeagleMAdultAdult
DJL-4BeagleMAdultAdult
DKL-4BeagleMAdultAdult
EKH-4BeagleMAdultAdult
ELL-4BeagleMAdultAdult
EPL-4BeagleMAdultAdult
ERH-4BeagleMAdultAdult
FXL-4BeagleMAdultAdult
FYL-4BeagleMAdultAdult
JZP-4BeagleMAdultAdult
LUP-4BeagleMAdultAdult
POP-4BeagleMAdultAdult
PQP-4BeagleMAdultAdult
QEP-4BeagleMAdultAdult
RAJ-4BeagleMAdultAdult
SZP-4BeagleMAdultAdult
WBL-4BeagleMAdultAdult
XBL-4BeagleMAdultAdult
XDL-4BeagleMAdultAdult
YOR-4BeagleMAdultAdult
ZVH-4BeagleMAdultAdult

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 35-265234 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 8081 · out 7830 · cost $0.1417
Overall confidence0.88 · cross-tier agreement 1.00
Model notes4-page CVI. Page 1 lists animals 1-7 (BE breed = Beagle): BGQ-4 through CIQ-4. Animal 1 (BGQ-4) has explicit F/Adult/vaccination data; rows 2-7 carry forward via vertical ditto lines. Page 2 lists animals 7-21 (Beagle): CRQ-4 through ZXQ-4, all Female/Adult inherited from page 1 group. Page 3 lists animals 7-21 (Beagle): CCH-4 through QEP-4, starting a new group with Male/Adult (CCH-4 row 7 shows M/Adult explicitly). Page 4 lists animals 7-13 (Beagle): RAJ-4 through ZVH-4, Male/Adult carried forward. Total unique animals: 7 (p1) + 15 (p2) + 15 (p3) + 7 (p4, rows 7-13) = 44 matching the stated total. The inspection_date field on page 1 appears to read '6/28/2025' which would be after the issue date of 5/28/2025 — this may be a reading error or data entry anomaly; the date inspected field reads '6/28/2025' but the date CVI issued is '5/28/2025'. Re-examining: 'DATE INSPECTED 6/28/2025' — this likely should be '5/28/2025' matching issue date, but I am reporting what appears on the form. The breed abbreviation 'BE' on page 1 is interpreted as Beagle consistent with all other pages listing BEAGLE explicitly. Rabies tag listed as N/A for all animals.

shrine_id 1198055 · doc_class PaperCvi