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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 />Fried or Baked <br />❑ Donuts and WafflesE]Dried Hot Chocolate ElFruit Infused Balsamic Vinegar <br />❑ Other S{earrl-aJ WICe- cake Mi Ye 011 bq*—A) " <br />Liq,wd sic2 mlx-h.{re C� Pte" L <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/cdrhlcfdocstcfCFRICFRSearch cfm?CFRPart=150 <br />Food Descriptions: <br />C-ook-in 1HcplsaaliewiS -oY S4*j-% It�dia� Cuisir+� foo( 11avl.s. <br />1) Spica_ 61""is 4amblyrtr Kas%qm, Iclli Cha'1 owA4,"S, <br />(S) i el'oy (i of h c. P.-'s'le. <br />Inc�raEiie s F)e4A 001 Couvandu s. -Ar, S�1 Bersn+q) <br />Fei^4�YFslc , �eetrc), PP�,rc3,shs, �-tx 1v�Iy1 c <br />(}1i,..�or, t�1ic r SRH / w�Tlai <br />gpke- WxI LM C- Ic l I b:^Ila) r -'o <br />1 a�ieu� '- Rica UYud ckel sAlt t�1�-r <br />3� L1 d Zsics Pz:NH cs7 CDos'=! AA) <br />�ynx" 'eAs' ; U Vudl 1*'A KN aZ' <br />EHD 18-27 8/27/22 <br />I% <br />CFO REG/PERMITTING FORM <br />