Laserfiche WebLink
3 <br />4 <br />5 <br />6 <br />c <br />ft <br />3 <br />MV I <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />’ 1 Name of Evont Ch >'iSfrnq $ |f} 4hc Rar K <br />- The I'ocowng m mformatton about my orqanteanonftxwIrHMw <br />Name of organtzstanibiHmess: MlHl DbOulx <br />AOarcss. --LMLr ___________ _ <br />PhOne ‘ >- 3^1-^^^ Aitema^Dltf ) 3^- <br />L« food to bo «*j or g,«n to tho pubfc (YltH ■ Dq4s IhtH k\ <br />I am provulfng toed that ts fihQT prepared at home: S Yes No <br />AB fciod ra prepared cn-ais or ts from approved commerce facility: ® Yea H No <br />Name of facaty k5/a «r —------i. ta --------------------------- ------------- Phone ( ) Aopross of feciKy ---------- -------‘--------------------- <br />1 ^KSHSS*"°’ ,h°“w« tom <br />xers=-»^«- «>ssxar “* ““«« -^^jsssss <br />o Other {specify t <br />««.<»« «»=, *, «^... M M <br />IS Approver boa3ed water <br />E On-3tte hose bdj that« cormeaad to a potoMe water source. <br />: ; Other (speedy). <br />ElectJizcy is provrded for my booth’s use: Yes t~i No <br />1 - « - « «A««^ <br />L_ Camp stwe Q stemo & hotel trays <br />EOoubte steamer Steam latrfe a tlds <br /> f tocirc stove top (2 {5pectfy) Oorx^ #4>- <br />NOW' Potowiaay baxanfous food tactude: <br />vogctotMco, potato oaiad. eggs, and dainr product Onates, cocked beans, rice. <br />' • .^LL 1 l BOTH SIDES AND RETURN WITH EXHIBITOR AGREE>/Lf, I