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Certificate of Veterinary Inspection · issued 2025-06-16

35-265239

RIDGLAN FARMS, INC. → A.J. Carlson Animal Research Facility · 2 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

A.J. Carlson Animal Research Facility

949 East 58th Street Chicago, IL 60637

State
IL
Shipped
2025-06-16
Inspected
2025-06-16
Issued
2025-06-16
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 06/05/2025, expires 06/05/2026, Nobivac 1-Rabies, Serial 746388
Other declarations
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies7463882025-06-052026-06-05all
Canine 1-DAPPNobivac / Nobivac2025-06-05all

Remarks / additional certifications

Owner/Consignor mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Permit Number: IPDITP48. Not returning to WI. Number of Animals in Shipment: 2.

Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (2)

IDBreedSexAge / DOBColorMicrochip / tattooOther
GTE-3BeagleFADULTADULT
JPE-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 35-265239 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1486 · cost $0.0325
Overall confidence0.88 · cross-tier agreement 0.93
Model notesTwo animals listed (rows 1 and 2). Row 2 (JPE-3) has ditto/vertical-line marks through Sex, Age, Breed, and all vaccination columns, inheriting values from row 1 (GTE-3): Breed=Beagle (BE), Sex=F, Age=Adult, and same vaccination details. The Canine 1-DAPP vaccine appears in the 'Other Vaccinations' column for row 1 with product 'Nobivac' and date 06/05/25; row 2 inherits via ditto. Serial number 746388 applies to Rabies vaccine only. Owner/agent signature reads 'Amelia J. Buelce' (approximate). Permit number read as 'IPDITP48' (handwritten, may vary slightly). Page 1 of 1.

shrine_id 1214448 · doc_class PaperCvi