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1:I <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Other Era' 2.,;.) <br />D Dried Vegetarian- 0 Vegetable and Potato Chips Based Soup Mixes <br />Roasted Coffee 0 Chocolate Covered Nonperishable Food <br />(Beans/Grounds) <br />Dried Hot Chocolate D Fruit Infused Balsamic Vinegar <br />Di e 6 <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/CF RSearch. cfm?C FRP art=150 <br />Food Descriptions: <br />cfee tk_ ,t Qar <br />Tr2(1.0( A-10r) 1-61 te eadorty, <br />6 r <br /> <br />Vree 7.52 of; t atii,y) is tou) <br />.4e-rwtp 61,e_Nciattirk) a)02 (iv tAkIn --1-reezurN9) <br />44,Le 9r-beta* (Ind cfloeq,„ p s fr-v3 . , J eerni llot-a <br />Seffel; Sktblksj tcst k mei;teeheii..is <br />Mad, 4l Stqa..r-,e" s yip, iltrime)enafrel, ktinal <br />Le SS Itiezov '2 / elk t: iffic act , 1--rupioca <br />Ned( ber/ (7ee,71 Jklif -c*, /2 a‘t-trezi 4a-6h4.4-f ti/c(teri; <br />Soo ow a etrzqtel ipikto 5. Cake, Re94ird /44._ <br />ligilao Sige k797 1.)/0)ca 7. <br />tie Y?&z_z) L, Led 41t); teiia-4) <br />0407a tibe? 40--y- ‘147fre,47 (-egfezi-x-7- fiiec <br />END 16-27 6/29/2023 2 CFO REG/PERMITTING FORM