Certificate of Veterinary Inspection · issued 2025-07-14
35-265245
RIDGLAN FARMS, INC. → NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE MEDICINE · 3 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
Northwestern University Center for Comparative Medicine
302 EAST HURON CHICAGO, IL 60611
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Rabies | Nobivac 1-Rabies | 2025-07-10 | 2025-07-10 | all | |
| Canine 1-DAPPv | Nobivac | 2025-07-10 | all |
Remarks / additional certifications
Permit Number: IPOIVSR4. Owner/Agent: Pamela J. Burke. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI.
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (3)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| APK-4 | Beagle | F | ADULT | ADULT | ||
| JII-4 | Beagle | F | ADULT | ADULT | ||
| PSI-4 | Beagle | F | ADULT | ADULT |
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.
Extraction provenance
shrine_id 1235038 · doc_class PaperCvi