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<br />CFO REG/PERMITTING FORM
<br />CI Dried or Dehydrated 1-1
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<br />Dried Vegetarian- 0 Vegetable and Potato Chips Vegetables Based Soup Mixes
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<br />Sweet Sorghum 1:1 Er Roasted Coffee , Chocolate Covered Nonperishable Food S,yrup (Beans/Grounds)
<br />ra/ Fried or Baked El Dried Hot Chocolate 0 Fruit Infused Balsamic Vinegar I-LI Donuts and Waffles
<br />Other
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<br />* Do not contain eggs, cream, or cream cheese c-or I a - m IN, de pe raAlti °h14 512-crioafey.
<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 0 COCi< I:a
<br />.
<br />http://www.accessdata.fda.00v/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPait=150
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