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Certificate of Veterinary Inspection · issued 2025-09-03

35-265258

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
2025-09-03
Inspected
2025-09-03
Issued
2025-09-03
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 08/20/2025, expires 08/20/2026, Nobivac Rabies
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac Rabies7463882025-08-202026-08-20all
Canine 1-DAPPvNobivac2025-08-20all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (2)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DDG-3BeagleFADULTADULT
EKG-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 35-265258 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1448 · cost $0.0319
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRow 2 (EKG-3) inherits Sex (F), Age (ADULT), Breed (BE=Beagle), and all vaccination/health data from Row 1 via the ditto/vertical-line convention visible in the form image. The permit number appears to read 'IPOIYFI6' but may be partially illegible. The 'Other Vaccinations' column shows 'Canine 1-DAPPv' with product 'Nobivac' dated 08/20/25, also inherited by Row 2. The Rabies Tag Number is listed as N/A for Row 1 and inherited as N/A for Row 2. Owner mailing address differs from origin address: P.O. Box 318 Mt. Horeb, WI 53572. The veterinarian's license number reads 404991 and NAT. ACCRED. NO. 033491. The form was received by WI on 2025-09-10.

shrine_id 1270514 · doc_class PaperCvi