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Certificate of Veterinary Inspection · issued 2025-08-06

35-265253

RIDGLAN FARMS, INC. → UNIVERSITY OF ILLINOIS · 1 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

UNIVERSITY OF ILLINOIS

2001 S. LINCOLN URBANA, IL 61802

State
IL
Shipped
2025-08-06
Inspected
2025-08-06
Issued
2025-08-06
Purpose
—
Species
Dog

Carrier

Not stated on the certificate.

Issuing Veterinarian

RICHARD B. 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 10/11/2024, expires 10/11/2025, Nobivac 3-Rabies, Serial 688214
Other declarations
Animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). The vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac 3-Rabies6882142024-10-112025-10-11specific
Canine 1-DAPPvNobivac2025-07-31specific

Remarks / additional certifications

Permit Number: IPOIX1OZ. Owner mailing address: P.O. Box 318 Mt. HOREB, WI 53572. Not returning to WI. Form received by WI Mon, 11 Aug 2025 10:54am CDT.

Animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). The vaccinations and results of tests are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (1)

IDBreedSexAge / DOBColorMicrochip / tattooOther
UIO-2BeagleFAdultAdult

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 35-265253 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1323 · cost $0.0300
Overall confidence0.88 · cross-tier agreement 1.00
Model notesSingle animal on this CVI (1 page). Breed 'BE' expanded to 'Beagle'. Age listed as 'ADULT'. Rabies vaccination date reads '10/11/24' with expiry '10/11/25'. Other vaccination (Canine 1-DAPPv / Nobivac) dated 07/31/25. Serial number 688214 appears to be the vaccine lot/serial number listed in the Serial Number column. Permit number appears to be 'IPOIX1OZ' (some characters ambiguous — could be IPOIX102). Vet license number 404991 and NAT ACCRED number 033491 read from bottom of form. No ditto/inheritance rule needed as only one animal row is populated.

shrine_id 1248613 · doc_class PaperCvi