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Made with Xodo PDF Reader and Editor <br />es □Vegetable and Potato Chips <br />□□Chocolate Covered Nonpertshabte Food <br />IS Dried Hot Chocolate pl Fruit Infused Balsamic Vinegar <br />□Other <br />F<\JLr2jni^h ^77.a 0/\lfrP <br />t <br />CFO REG-Vf RMTHW FORM2eno <br />Dried or Dehydrated <br />Vegetables <br />Fried or Baked <br />Donuts and Waffles <br />Sweet Sorghum <br />Syrup <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Food Descriptions: <br />forhsan ‘jcurJouqh fSreaz- <br />d- GOOK4f,^<________ <br />..Gu^nxnJ^LlSC________ <br />’ Do not contain eggs, cream, or cream cheese <br />*• If preparing jams, jetties 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.qov/scripts/cdrtVcf docs/GfCFR/CFRSearch.cfm?CFRPart=150 <br />fapbr/iv <br />prc-Hri, If/KT}, <br />. Hans ^Lp/2n -hsfart <br />txxVh ■__________________________________—