Certificate of Veterinary Inspection · issued 2025-09-16
35-275236
Benjamin Jandwright → Janice Brown · 6 dogs
Consignor (shipper)
Benjamin Jandwright
21650 St. Johns Ave. Hillsboro, WI 54634
Carrier
Not stated on the certificate.
Issuing Veterinarian
Lindsey C. Jensen
Intrastate
11257 King Rd., Madison, WI 53757
Health declarations
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 results of tests are as indicated on this certificate.
Emails on form: dr.techsomad@gmail.com
Animals listed on this shipment (6)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| BL-70-25 | White Kidney | M | 11 wks | Black | 11 wks | |
| BL-71-25 | White Kidney | F | Black | |||
| BL-72-25 | White Kidney | F | Black/White | |||
| BL-73-25 | White Kidney | F | Brown | |||
| BL-74-25 | White Kidney | F | Brown | |||
| BL-75-25 | White Kidney | F | Brown |
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 1299764 · doc_class PaperCvi