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Certificate of Veterinary Inspection · issued 2024-02-20

35-267618

J+A Acres LLC → Rich · 1 dogs

Open source PDF ↗

Consignor (shipper)

J+A Acres LLC

3268 Sterling Ave Withee, WI 54498

Phone
715-669-257459

Consignee (buyer)

Rich

3045 Fox Lane Durvee, IL 60031

State
IL
Phone
847-271-7965
Shipped
2024-02-20
Inspected
2024-02-20
Issued
2024-02-20
Purpose
—
Species
Dog

Carrier

Not stated on the certificate.

Issuing Veterinarian

Tamela (signature) / Amelia Taffe PM

Box 160, Ower, WI 54460

Phone
715-229-2220
State license
407702
USDA accreditation
051775

Health declarations

Other declarations
Veterinarian certifies animal(s) have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Remarks / additional certifications

Permit Number: 1P0106HT. Not returning to WI. Number of Animals in Shipment: 1.

Veterinarian certifies animal(s) have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Animals listed on this shipment (1)

IDBreedSexAge / DOBColorMicrochip / tattooOther
1MalteseM2-4 22White2-4 22

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 35-267618 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1049 · cost $0.0259
Overall confidence0.62 · cross-tier agreement 0.74
Model notesHandwriting is difficult to read throughout. Consignor phone appears to be '715-669-257459' but may be malformed — could be '715-669-2459' or similar. Consignee name reads as 'Rich' followed by what appears to be a last name starting with 'ch' but is unclear. Destination city reads as 'Durvee' or 'Ourvee' — uncertain. Age field in the animal row shows '2-4' above '22' which is ambiguous; could be age 2-4 months/years and weight 22 lbs, or a date. No rabies vaccination date was filled in despite the column being present. Vet printed name appears to be 'Amelia Taffe PM' (or similar). State license '407702' and NAT accreditation '051775'. The permit number '1P0106HT' (could be 'IP0106HT') is recorded. Consignee address 'Durvee IL 60031' — city spelling uncertain.

shrine_id 844410 · doc_class PaperCvi