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r <br /> ❑ Dried or Dehydrated ❑DriedVegetarian- ❑ Vegetable and Potato Chips <br /> Vegetables Based Soup Mixes <br /> Sweet Sorghum RoastedCoffee <br /> � Syrup ❑ ❑ Chocolate Covered Nonperishable Food <br /> S <br /> Y p (Beans/Grounds) <br /> Fried or Baked EJ El Donuts and Waffles Dried Hot Chocolate ❑ Fruit 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:llwww.accessdata.fda.gov/scripts/cdrhlcfdocs/cfCFRICFRSearch.cfm?CFRPart=150 <br /> Food Descriptions: <br /> Ingredients:All-purpose flour,brown sugar,granulated sugar,unsalted butter,egg, <br /> semisweet chocolate chips(sugar,chocolate liquor,cocoa butter,soy lecithin,vanilla), <br /> baking soda,salt,vanilla extract. <br /> EHD 16-27 5/2912023 2 CFO REGIRERMITTING FORM <br />