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❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> El Sweet Sorghum Roasted Coffee <br /> Syrup El (Beans/Grounds) ❑ Chocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donuts and Waffles ❑ Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <br /> ❑ Other <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.aGcessdata.fda.gov/scripts/cdrhlcfdocslcfCFRICFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> -Sno—l3c4h -1 Cookies — P�cuns/Inla(r� s1ars>�ac�io <br /> Skorfbr'ead C.C` fog en F-re&_) -- LemnolLikne_larnngP <br /> Pis f fAckt0 IA[n, nr) c_4 [C7{u4en Coca�CICS <br /> I qr ffe�s P�cdr�s W 'f'-6-ifs PIS�'gChi0 <br /> EH©16-27 6/29/2023 2 CFO REGIPERMITTING FORM <br />