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Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Other '1U12.-01•-)(fv BAKJ 1 c4 ISA)PC <br />Fried or Baked <br />Donuts and Waffles <br />LI Roasted Coffee <br />(Beans/Grounds) <br />I=1 Dried Hot Chocolate <br />Dried Vegetarian- <br />Based Soup Mixes E Vegetable and Potato Chips <br />Chocolate Covered Nonperishable Food <br />111 Fruit Infused Balsamic Vinegar <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/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: Furikake Snack Mix (Similar to chex mix), brownies, cupcakes, donuts,Cookies, <br />CASPc.vik C-Ak%C Oc-s <br />v.;\ <br />\\ f,(\o \re -CNN\ - pei c-0,1( <br />C @ c-\s\nr-\ 3°‘ <br />END 16-27 6/29/2023 2 CFO REG/PERMITTING FORM