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0 Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />0 Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Hot Chocolate <br />Vegetable and Potato Chips <br />Chocolate Covered Nonperishable Food <br />Fruit Infused Balsamic Vinegar <br />. , <br />C i31`, e4- S -C-60)71. 4 -1 (MS <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 stndards described in Part 150 of Title 21 of the Code of Federal Regulations <br />http://www.accessdita.fda.eov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: cm, cur c k- Ls yvwd_p, s-vr ir )1A)c-J-e-t- rv\ 190-1,,)„tex--. <br />Other <br />_ rl r cnArA c rvyk r-Kak-1 <br />n V\ 'in r o•rn vvvx.g -c*Ame-' Outkat <br />(,) <br />r ____. ,......._ ..„....,„. .._ . ,....,._, \Lei_ 1 L/ U VI L-1./ wy(vi <br />*TI k. oA,--ael-- <br />6 )(kaa V\-- -i-- <br />Y- c-A.-e_C-( lJ <br />C-cd(--Q IM9-erS <br />-I&C3-e,,tir Sk&AA \ s i <br />END 16-27 6/2912023 2 CFO REG/PERMITTING FORM <br />