111-T1.7x, 2011 ALA U.S. Test Christmas Seal Gift Tags Sheet, VF, MNH.
Issued 2011 by the American Lung Association (ALA). Four designs alternating throughout the sheet. Sheet of 18 (3x6) gift tags with "R12-CSCS-4-GTag" in bottom margin.
Christmas Seals are also known as TB Charity Seals, and are usually classified as Charity Seals, or Cinderella Stamps.