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Certificate of Veterinary Inspection · issued 2025-09-23

35-265263

RIDGLAN FARMS, INC.IIT RESEARCH INSTITUTE · 3 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2025-09-23
Inspected
2025-09-23
Issued
2025-09-23
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 09/22/2025, Nobivac 1-Rabies, expires 09/22/2026
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-Rabies2025-09-222026-09-22all
Canine 1-DAPPNobivac / Canine 1-DAPP2025-09-22all

Remarks / additional certifications

Permit Number: IPOIZK9Y. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Number of animals in shipment: 3.

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 (3)

IDBreedSexAge / DOBColorMicrochip / tattooOther
GTH-4BeagleMAdultAdult
OBP-4BeagleMAdultAdult
WYH-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 35-265263
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1701 · cost $0.0357
Overall confidence0.91 · cross-tier agreement 1.00
Model notesRows 2 (OBP-4) and 3 (WYH-4) have vertical ditto lines through Sex, Age, Rabies Vaccination Date, Rabies Exp. Date, Product & Vaccine Producer, Other Vaccinations, Date Vaccinated, and Product & Vaccine Producer columns — all values inherited from row 1 (GTH-4). Serial numbers for OBP-4 and WYH-4 appear blank (no ditto line visible in Serial Number column), so left null. Rabies Tag Number for GTH-4 is explicitly 'N/A'; ditto lines appear to extend through rows 2 and 3 as well. The 'Other Vaccinations' entry reads 'Canine 1-DAPP' (possibly 'Canine 1-DAPPv'). Breed abbreviation 'BE' expanded to 'Beagle'. Age text for rows 2 and 3 inherited as 'Adult' via ditto rule.

shrine_id 1284350 · doc_class ElectronicCvi