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❑ Dried or Dehydrated ❑ Dried Vegetarian- <br /> Vegetables Based Soup Mixes ❑ Vegetable and Potato Chips <br /> ❑ Sweet Sorghum ❑ Roasted Coffee <br /> Syrup (Beans/Grounds) ElChocolate Covered Nonperishable Food <br /> Fried or Baked <br /> Donuts and Waffles ❑ Dried Hot Chocolate ElFruit 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.accessdata.fda.gov/scriptslcdrhtcfdocs/cfcFR/CFRSearch cfm?CFRPart=l50 <br /> Food Descriptions: <br /> coor�',P-S Ccx�peS ornil cream ccb %Ae <br /> IA Lacy e 5rt 'k c.1!e� 000l� G o DES <br /> tis,one Cop ` e S brawn' CO o ):;e.S s" aJ- Ce�6l�r_e5, <br /> Ca-j�el Ce bj i'e S ca <br /> W cbbre-5 w-61c4p appk5 a i-An m ors <br /> F.HD 16-27612912023 2 CFO REGIPERMrrTING FORM <br />