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❑ Dried or Dehydrated ❑ Dried Vegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> Sweet Sorghum Roasted Coffee ❑ Chocolate Covered Nonperishable Food <br /> ❑ SyrUp ❑ (Beans/Grounds) <br /> ❑ Fried or Baked n Dried Not Chocolate ❑ Fruit Infused Balsamic Vinegar <br /> Donuts and Waffles <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 stems <br /> must comply with standards described in Part 150 of Title 21 of the Code of Federal Regulations <br /> htto 11www accessdata fda ovlscri islcdrhlcfdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br /> Food Descriptions: <br /> C�,�v�a�nna+n <br /> tt <br /> C VwC01r' -e- C�o k() OvC ao�c�f� hYP G� ILDaT <br /> Q e c ,^ bre l to F <br /> -)alcanettn cVte'4d r tfrdoc� ��,r-ectd 0a — <br /> Co-,P-�- e <br /> Par 1't'te'C>cLn gy\& bfre6i d (cc,. . <br /> ou,r dC u ct 5 coot e 5 <br /> 1\,,e b e_y-K 1�vtir,�Yt S,r�rd Cki van F�i V1 S <br /> C. <br /> EHC 16-27 6/2912023 2 CFO REGIPERMITT1NG FORM <br />