Certificate of Veterinary Inspection · issued 2025-09-22
35-265262
RIDGLAN FARMS, INC. → MOUNTAIN WEST RESEARCH · 24 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 WEST BLUE MOUNDS RD. BLUE MOUNDS, WI 53517
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Rabies | Nobivac / Nobivac 1-Rabies | 2025-09-12 | 2026-09-12 | all | |
| Canine 1-DAPPv | Nobivac / Nobivac | 2025-09-12 | all |
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)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| AOU-4 | Beagle | F | ADULT | ADULT | ||
| APU-4 | Beagle | F | ADULT | ADULT | ||
| AQU-4 | Beagle | F | ADULT | ADULT | ||
| BCU-4 | Beagle | F | ADULT | ADULT | ||
| BEU-4 | Beagle | F | ADULT | ADULT | ||
| BOU-4 | Beagle | F | ADULT | ADULT | ||
| BPU-4 | Beagle | F | ADULT | ADULT | ||
| BUU-4 | Beagle | F | ADULT | ADULT | ||
| BVU-4 | Beagle | F | ADULT | ADULT | ||
| CLU-4 | Beagle | F | ADULT | ADULT | ||
| COU-4 | Beagle | F | ADULT | ADULT | ||
| CQU-4 | Beagle | F | ADULT | ADULT | ||
| DTU-4 | Beagle | F | ADULT | ADULT | ||
| XBU-4 | Beagle | F | ADULT | ADULT | ||
| XCU-4 | Beagle | F | ADULT | ADULT | ||
| XFU-4 | Beagle | F | ADULT | ADULT | ||
| XTU-4 | Beagle | F | ADULT | ADULT | ||
| YFU-4 | Beagle | F | ADULT | ADULT | ||
| YGU-4 | Beagle | F | ADULT | ADULT | ||
| ZGU-4 | Beagle | F | ADULT | ADULT | ||
| ZUU-4 | Beagle | F | ADULT | ADULT | ||
| ZVU-4 | Beagle | F | ADULT | ADULT | ||
| YBV-4 | Beagle | M | ADULT | ADULT | ||
| ZDV-4 | Beagle | M | ADULT | ADULT |
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.
Extraction provenance
shrine_id 1284346 · doc_class ElectronicCvi