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Dried or Dehydratid <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />0 <br />o <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />EY Vegetable and Potato Chips <br />0 Chocolate Covered Nonperishable Food <br /> <br />Fried or Baked <br />Donuts and Waffles Dried Hot Chocolate 0 Fruit Infused Balsamic Vinegar <br />0 Other <br /> <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.goy/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br /> <br />D-zri cc; Sp; c es ( as e2(10(-) - b1 A ID ci'vvrt e_x_s <br /> <br />Acka C kx-y "ri CS ci -Lk Ty) ck V C • <br />C_Y Fe) 115 /13-reckcl— 1€.5-S Llir- CC\ CLS • <br />ecky-v-I M'Afti-in5 k b <br />-Or csVn3 <br />C_-.1,3 less c od<c-2. <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM