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Certificate of Veterinary Inspection · issued 2025-05-20

35-269467

Carlos Cruz → Carlos Cruz · 1 dogs

Open source PDF ↗

Consignor (shipper)

Carlos Cruz

112 Autumnwood Circle Mt. Horeb, WI, 53572

Phone

(414) 388 2684

Consignee (buyer)

Carlos Cruz

Florida

State

Shipped

2025-06-15

Inspected

2025-05-20

Issued

2025-05-20

Purpose

Animals are traveling with owner on vacation

Species

Dog

Carrier

Not stated on the certificate.

Issuing Veterinarian

Ashley Malawy

Mt. Horeb Animal Hospital

1300 Springdale St., Mt. Horeb, WI, 53572

Phone

(608) 437 8122

State license

48221D

USDA accreditation

089000

Health declarations

Rabies

Vaccinated 2025-05-20, expires 2026-01-23

Other declarations

Veterinarian certifies animal has been inspected and is not showing any signs of infectious, contagious and/or communicable disease.

Vaccinations (1)

Name	Manufacturer / Product	Lot	Administered	Expires	Applies to
Rabies	Nobivac / Nobivac 3 Rabies		2025-05-20	2026-01-23	specific

Remarks / additional certifications

See Attached Vaccination Certificate

Veterinarian certifies animal has been inspected and is not showing any signs of infectious, contagious and/or communicable disease.

Emails on form: info@mthorebanimalhos pital.com

Animals listed on this shipment (1)

ID	Breed	Sex	Age / DOB	Color	Microchip / tattoo	Other
Louie	English Golden Retriever	M	2y	white	750911	2y

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 35-269467 ↗

Extraction provenance

Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware

Extracted2026-05-27 00:37:50

Tokensin 3395 · out 1122 · cost $0.0270

Overall confidence0.88 · cross-tier agreement 1.00

Model notesSingle animal on form; no ditto inheritance needed. Rabies tag number partially legible as '114846 9487' (possibly '114846 9487n' or similar — handwriting unclear). Rabies vaccination expiration date read as 1/23/26 (January 23, 2026). Shipping date read as 06/15/25. Email address partially obscured but reconstructed as info@mthorebanimalhos pital.com — likely info@mthorebanimalhos pital.com; best read as info@mthorebanimalhos pital.com. Destination city/state listed only as 'Florida' with no street address. Owner and consignee are the same person (Carlos Cruz). Animal is 'Returning to WI' checked.

shrine_id 1193645 · doc_class PaperCvi