HomeMy WebLinkAboutApplication 946 Sullivan Avenue Safe Exam Form No.4905
Cert.No. 10895293
ServSafe
CERTIFICATION
To GENEVIEVE M BEAURIVAGE
for successfully completing the standards set form by the National Restaurant Association Educational
Foundation for the ServSafe®Food P�loct oo Manag"J.; ficahon Fd prmlrraaon
Date of Examination:03/31/2014
Date of Expiration 03/31/2019
Local laws apply.Check with your 1 g .t y agency for 1-4
` f ation regwrements.
(02014 National Restaurant Assoc C Ed-stio al F undgti. AEF).All rights
reserved ServSafe s a registered t-d e m rk of th NRAE6^ der license by National
Restaurant Association Solutions,.LLC.The logo appeari o ServSafe is a trademark of
the National Restauraet Assodl-tirm
Collelo, Diane
From: vtsdmailer@vt-s.net on behalf of Giuseppina's Italian Bakery LLC <vtsdmailer@vt-s.net>
Sent: Sunday,January 01, 2017 8:43 PM
To: Collelo, Diane
Subject: Form submission from:
Submitted on Sunday, January 1, 2017-8:42pm Submitted by anonymous user: ::ffff:72.195.143.149 Submitted values
are:
Class: 3
Establishment Name: Giuseppina's Italian Bakery LLC Street Address(Street, Town, State, Zip): 946 Sullivan Avenue
Mailing Address(Street, Town, State, Zip): 946 Sullivan Avenue Business Phone: 8604320251
Website: www.Italianbakerysouthwindsor.com Business Fax:
Email:jennybfly59@gmail.com
Legal Owner: Genevieve M. Beaurivage/Neal Devaux Mailing Address(Street, Town, State, Zip): 946 Sullivan Avenue
Home Phone: 8604320251 Cell Phone: 8604320251
Email:jennybfly59@gmail.com
Emergency Contact Name: Genevieve M. Beaurivage Emergency Contact Phone: 8604320251 Emergency Contact Email:
jennybfly59@gmail.com Best way to be reached in an emergency: 860-416-5795 QFO/Manager Name(Class 3&4
Establishments): Genevieve M. Beaurivage Designated Alternative Name:
Renovations/New Equipment: Yes
Water Supply: Public
Wastewater Disposal: Public
Other Licenses: Bakery
Menu:
http://www.southwindsor.org/sites/southwindsorct/files/webform/health_fi les/giuseppinas_bakery_menu_for_town_
of_s_w.j peg
QFO Certificate:
http://www.southwindsor.org/sites/southwindsorct/files/webform/health_files/servsafe_certificate_beaurivage.jpeg
==Disclaimer=
The results of this submission may be viewed at:
http://www.southwindsor.org/node/l 1601/submission/7413
1
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Giuseppina's Italian Bakery Menu
Italian Cookies
Italian Pastries which include: Cannoli filled with chocolate pudding, vanilla pudding or
ricotta cheese; french horns filled with butter cream frosting; chocolate rum rolls, vanilla
rum rolls, ricotta rum rolls; cheesecake; brownies; chocolate mousse cake slices; lemon
mousse cake slices; limencello cake slices; chocolate brownie cake slices;pyramids (mini
rum cake); lemon, blueberry or cherry bars; pasticiotte filled with ricotta, vanilla,
chocolate or lemon;turnovers: apple,raspberry or blueberry; scones: blueberry, cranberry
orange or roasted red pepper; chocolate chip cookies; oatmeal cookies; peanut butter
chocolate cookies; toasted almond cake slices; cheese danish; lobster tails filled with
ricotta cheese
Fruit pies
Cakes
Cupcakes
Cake pops
Italian bread and rolls
Packaged Bread crumbs
Cookie trays
Pizzelles
Pizza slices
Sandwiches: eggplant, chicken parmesean, pepperoni, genoa salami
Pepper biscuits
Italian confections such as chocolate bacci; panettone, torrone,jordan almonds
Stuffed breads: Chicken parmesean; spinach sausage and potatoe; spinach and sausage;
spinach and potato; broccoli, sausage and potato; broccoli and sausage; broccoli and
potato; meatball; chicken spinach and feta; eggplant parmesean; fig prosciutto and asiago;
pepperoni.
Espresso, cappuccino, coffee (regular and decaffeinated); hot chocolate, and tea
Cold drinks which include bottled water; vitamin water; san pellegrino water; soda
i