This government document is issued by Department of Aging for use in Maryland
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https://www.google.com/url?client=internal-element-cse&cx=007821330218074952993:dlfjfzeuk3y&q=https://aging.maryland.gov/Documents/Nutrition/Menu%2520Policies/Attachment%2520C%2520APD%252017-01%25202017%2520RD%2520approval%2520menu%2520pattern.pdf&sa=U&ved=2ahUKEwjtmM-It5vxAhUhPewKHSelAT84ChAWMAF6BAgIEAE&usg=AOvVaw1xdolmBHI1aIAfzfTNYA8p