New Jersey Department of Health

Public Health and Food Protection Program

PO Box 369

Trenton, NJ 08625-0369	APPLICATION FOR

TEMPORARY MARKETING PERMIT:

FROZEN DESSERTS MANUFACTURING PLANT
A sample label must be attached to this application for review.
Name of Owner or Corporation

Brand Name(s) Under Which Product Will Be Sold

Trade Name

Establishment Location

City, State, Zip Code

Mailing Address (if different)

Estimated Number of Gallons To Be Made
City, State, Zip Code

January 1,	20	to December 31,	20
Telephone Number

( )	Amount:	Gallons
PRODUCT DESCRIPTION
Ingredients – Specify Source(s):	Percent of Total
Fat
Sweetening Agent(s)
Nonfat Milk Solids
Flavoring
Coloring
Stabilizer
Caseinates
Other
Weight Per Gallon of Product:	Pounds
Which standardized frozen dessert does this product most closely resemble?

Specifically, in what particulars does this product differ from that standardized frozen dessert?

I hereby make application for a temporary marketing permit for the above-described frozen dessert product.
Name of Applicant (Print)

Title

Signature	Date

STATE USE ONLY
Approved

Disapproved	Signature	Date
Remarks

M-7

JUN 16

m-7

ewhite

2005-05-05

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