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Certificate of Veterinary Inspection · issued 2025-09-22

35-265262

RIDGLAN FARMS, INC.MOUNTAIN WEST RESEARCH · 24 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 WEST BLUE MOUNDS RD. BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

MOUNTAIN WEST RESEARCH

6200 EAST CTY R 56 FT. COLLINS, CO 80524

State
CO
Shipped
2025-09-22
Inspected
2025-09-22
Issued
2025-09-22
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 09/12/2025 with Nobivac 1-Rabies; expiration 09/12/2026
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 (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies2025-09-122026-09-12all
Canine 1-DAPPvNobivac / Nobivac2025-09-12all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted).

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (24)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AOU-4BeagleFADULTADULT
APU-4BeagleFADULTADULT
AQU-4BeagleFADULTADULT
BCU-4BeagleFADULTADULT
BEU-4BeagleFADULTADULT
BOU-4BeagleFADULTADULT
BPU-4BeagleFADULTADULT
BUU-4BeagleFADULTADULT
BVU-4BeagleFADULTADULT
CLU-4BeagleFADULTADULT
COU-4BeagleFADULTADULT
CQU-4BeagleFADULTADULT
DTU-4BeagleFADULTADULT
XBU-4BeagleFADULTADULT
XCU-4BeagleFADULTADULT
XFU-4BeagleFADULTADULT
XTU-4BeagleFADULTADULT
YFU-4BeagleFADULTADULT
YGU-4BeagleFADULTADULT
ZGU-4BeagleFADULTADULT
ZUU-4BeagleFADULTADULT
ZVU-4BeagleFADULTADULT
YBV-4BeagleMADULTADULT
ZDV-4BeagleMADULTADULT

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 35-265262
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 6519 · out 4846 · cost $0.0922
Overall confidence0.88 · cross-tier agreement 1.00
Model notesThis is a 3-page CVI (35-265262) for 24 Beagles. Page 1 (form page 1 of 3) lists animals 1-7 (AOU-4 through BPU-4) with AOU-4 explicitly marked F/ADULT and rows 2-7 inheriting via ditto lines. Page 2 (form page 2 of 3) lists animals 7-21 (BUU-4 through ZVU-4) with BUU-4 explicitly marked F/ADULT and the ditto line running through ZVU-4 at the bottom. Page 3 (form page 3 of 3) lists animals 7-8 (YBV-4 as M/ADULT, ZDV-4 inheriting via ditto). All 24 animals share the same rabies vaccination (Nobivac 1-Rabies, 09/12/25, exp 09/12/26, serial 746388) and other vaccination (Canine 1-DAPPv / Nobivac, 09/12/25). The owner mailing address on page 1 (form) is P.O. Box 318 Mt. Horeb, WI 53572 but origin street address is 10489 W. Blue Mounds Road, Blue Mounds, WI 53517 — both belong to Ridglan Farms. The agent/owner signature shows 'Tamela J. Buefee'. Email ridglan@mhtc.net appears on page 1 (form). Page numbering on the continuation sheets is 2 of 3 and 3 of 3; the main CVI is page 1 of 3.

shrine_id 1284346 · doc_class ElectronicCvi