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❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> Sweet Sorghum Roasted Coffee <br /> El Syrup ❑ (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> El Donuts and WafflesE] Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <br /> ® Other (f�Z� ( � 60cw a <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 Tile 21 of the Code of Federal Regulations <br /> http://www.accessdata.fda.q ov/scripts/cdrh/cfdocs/cfC F R/CF RSearch.cfm?C FRPart=150 <br /> Food Descriptions: <br /> YCce2e, A I1.GC <br /> CSGrI-es4n ``, wu4-er �u ~� c4\f (i�1 e <br /> S-Dfc buuti�x+ LzmaclIe <br /> EHD 16-27 629/2023 2 CFO REG/PERMITTIW-FORM <br />