111-T4.6x, 2010 ALA Greeting Stickers & Address Labels, R12-CSCS-5-08, VF, MNH. Issued 2011 by the American Lung Association (ALA).
Designed by Janet Stever/Porterfield's Fine Art Licensing. Sheet of self adhesive, die cut, greeting stickers, and twelve (12) address labels with images from the 111-T4x, 2011 U.S. Test Design Christmas Seals, enclosed within a red border, "R12-CSCS-5-08" in bottom margin.
Text on reverse of the sheet - Helping People With Lung Disease ...
Christmas Seals are also known as TB Charity Seals, and are usually classified as Charity Seals, or Cinderella Stamps.