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❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> ❑ Sweet Sorghum ❑ Roasted Coffee Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> ❑ Other: <br /> ' Do not contain eggs, cream, or cream cheese <br /> If preparing jams,jellies or fruit butters,include a list of ingredients(attach separate page if needed). These items <br /> must comply with standards described in Part 150 of Title 21 of the Code of Federal Regulations <br /> h@p//www accessdata fda gov/scriptslcdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> CQQeKey� OPUKen-,!'AUUAqv�e /0,5;( t�� OK-05, ��dsS. <br /> Mi /S�iNli�l�fiw5/ �U QYCNQGI✓1� lC6� <br /> tiq 4 <br /> _ indat3,±: °C,©VPre_d <br /> EHD 16-27 6/29/2615 2 CFO REGMERMITTING FORM <br />