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Certificate of Veterinary Inspection · issued 2025-09-15

35-265259

RIDGLAN FARMS, INC. → COLORADO STATE UNIVERSITY · 6 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Colorado State University

3107 Rampart Road FT. COLLINS, CO 80523

State
CO
Shipped
2025-09-15
Inspected
2025-09-15
Issued
2025-09-15
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; Nobivac 1-Rabies; expires 08/20/2026
Other declarations
Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Animals meet state of destination and Federal interstate requirements.

Vaccinations (2)

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

Remarks / additional certifications

Owner/Agent mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Number of animals in shipment: 6. Shipping date: 9/15/2025.

Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Animals meet state of destination and Federal interstate requirements.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (6)

IDBreedSexAge / DOBColorMicrochip / tattooOther
BKK-4BeagleFADULTADULT
QYO-4Beagle
SFO-4Beagle
AER-4BeagleM
SAP-4Beagle
WLP-4Beagle

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 35-265259 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 2295 · cost $0.0446
Overall confidence0.82 · cross-tier agreement 1.00
Model notesRow 1 (BKK-4) has explicit values for Sex (F), Age (ADULT), Rabies vaccination date (08/20/25), Rabies exp (08/20/26), product (Nobivac 1-Rabies), serial number (746388), Rabies Tag (N/A), Other vaccinations (Canine 1-DAPPv), Date vaccinated (08/20/25), and Other vaccine product (Nobivac). Rows 2-6 (QYO-4, SFO-4, AER-4, SAP-4, WLP-4) appear to have vertical ditto lines through most columns but the vaccination data columns for rows 2-6 are either blank or show checkmarks/vertical lines — it is ambiguous whether all 6 animals share the same vaccination record. Row 4 (AER-4) has a clear 'M' for sex. Row 6 (WLP-4) has checkmark/vertical marks throughout all columns suggesting ditto inheritance, but vaccination specifics for animals 2-6 are not clearly written out. The vaccination entries above are recorded only as explicitly written for BKK-4 in row 1. The ditto marks on row 6 (WLP-4) across all columns suggest it inherits all values but the form's vaccination columns for rows 2-5 appear blank, making it unclear if all animals were vaccinated identically. Sex for rows 2, 3, 5, 6 cannot be determined from the form — row 3 (SFO-4) appears to have a checkmark in sex column but direction is ambiguous. The owner/agent signature appears to be 'Renula J. Burke' or similar. The mailing address differs from the origin address (P.O. Box 318 Mt. Horeb vs. 10489 W. Blue Mounds Road, Blue Mounds) — both belong to Ridglan Farms.

shrine_id 1279172 · doc_class PaperCvi