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❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> ❑ Sweet Sorghum 5d Roasted Coffee El Chocolate Covered Nonperishable Food <br /> Syrup 1� (Beans/Grounds) <br /> Fried or Baked <br /> El Donuts and WafflesElDried Hot Chocolate E] Fruit Infused Balsamic Vinegar <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 /> http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> e rnaSf 3nd Do)G dclrz-g& 0AV . <br /> 4� Clio 404 ndic cors <br /> EHD 16-272/3/17 2 CFO REG/PERMrrr1NG FORM <br />