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Certificate of Veterinary Inspection · issued 2025-07-23

35-265247

RIDGLAN FARMS, INC.IIT RESEARCH INSTITUTE · 16 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2025-07-23
Inspected
2025-07-23
Issued
2025-07-23
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 07/16/2025 with Nobivac 1-Rabies; expires 07/16/2026
Other declarations
Veterinarian certifies animals have been inspected and are not showing any 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-Rabies7463882025-07-162026-07-16all
Canine 1-DAPPvNobivac / Nobivac (Canine 1-DAPPv)2025-05-07all

Remarks / additional certifications

Permit Number: IPOIWCTF. Not returning to WI. Owner/Consignor mailing address: P.O. Box 318 Mt. Horeb, WI 53572.

Veterinarian certifies animals have been inspected and are not showing any 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 (16)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AHA-5BeagleF6-7 Mos6-7 Mos
APA-5BeagleF6-7 Mos6-7 Mos
ATA-5BeagleF6-7 Mos6-7 Mos
XRY-4BeagleF6-7 Mos6-7 Mos
YVA-5BeagleF6-7 Mos6-7 Mos
YWY-4BeagleF6-7 Mos6-7 Mos
ZAY-4BeagleF6-7 Mos6-7 Mos
ZFY-4BeagleF6-7 Mos6-7 Mos
ACB-5BeagleM6-7 Mos6-7 Mos
AWB-5BeagleM6-7 Mos6-7 Mos
CAB-5BeagleM6-7 Mos6-7 Mos
XDZ-4BeagleM6-7 Mos6-7 Mos
YQZ-4BeagleM6-7 Mos6-7 Mos
YXZ-4BeagleM6-7 Mos6-7 Mos
ZLB-5BeagleM6-7 Mos6-7 Mos
ZRB-5BeagleM6-7 Mos6-7 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 35-265247
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3787 · cost $0.0717
Overall confidence0.82 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1–7 (BE breed abbreviation expanded to Beagle); page 2 lists animals 7–15 (labeled BEAGLE explicitly). Animal 1 (AHA-5) has explicit Sex=F and Age=6-7 Mos; ditto lines extend through rows 2–7 on page 1. Page 2 row 7 (ZFY-4) has explicit Sex=F and Age=6-7 Mos; row 8 (ACB-5) has explicit Sex=M; ditto lines extend M through rows 9–15 (ZRB-5 terminates the line with a checkmark). Age 6-7 Mos carried forward throughout as all rows are spanned by the ditto line from row 1. Serial number 746388 appears on page 1 for AHA-5 and also on page 2 for ZFY-4 — treated as the same rabies vaccine lot applying to all animals. The ACB-5 sex is explicitly M on page 2; prior animals on page 1 inherit F from AHA-5. Age_value set to 6.5 as midpoint of 6-7 months range. No microchip numbers, tattoos, colors, or DOBs are recorded. No treatments or lab tests listed.

shrine_id 1239425 · doc_class PaperCvi