Certificate of Veterinary Inspection · issued 2025-12-17
35-265282
RIDGLAN FARMS, INC. → EAST TENNESSEE CLINICAL RESEARCH, INC. · 16 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
EAST TENNESSEE CLINICAL RESEARCH, INC.
80 COPPER RIDGE ROAD ROCKWOOD, TN 37854
Carrier
Not stated on the certificate.
Issuing Veterinarian
Jeffrey T. Ballmer, 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 | 803507 | 2025-12-16 | 2026-12-16 | all |
| Canine 1-DAPPv | Nobivac / Canine 1-DAPPv | 2025-12-08 | 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). Vaccinations and test results as indicated on this certificate. Animals meet state of destination and Federal interstate requirements. No warranty is made or implied.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (16)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| AGS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| ARS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| ATS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| BRS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| BSS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| CYS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| DAS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| DJS-5 | Beagle | F | 3 Mos | 3 Mos | ||
| ADT-5 | Beagle | M | 3 Mos | 3 Mos | ||
| AET-5 | Beagle | M | 3 Mos | 3 Mos | ||
| ALT-5 | Beagle | M | 3 Mos | 3 Mos | ||
| AOT-5 | Beagle | M | 3 Mos | 3 Mos | ||
| BLT-5 | Beagle | M | 3 Mos | 3 Mos | ||
| BPT-5 | Beagle | M | 3 Mos | 3 Mos | ||
| BWT-5 | Beagle | M | 3 Mos | 3 Mos | ||
| CCT-5 | Beagle | M | 3 Mos | 3 Mos |
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 1341867 · doc_class PaperCvi