2009-1x3, 2009 U.S. National Christmas Seals Sheet, R10-FU1S-4-01, VF, MNH.
Issued 2009 by the American Lung Association. Images of Snowman, Reindeer, Bear, and Santa, with silver foil border.
Sheet of 56 (2x7) + (3x7) + (3x7) with gift tags, margin on 4 sides, "Fighting for Air." Horizontal gutters between 2nd & 3rd, and 5th & 6th rows. Dated 2009 with "R10-FU1S-4-01 in top margin. Seal size: 17x24mm. Silver margin scans much darker than actual color.
History of Christmas Seals on the reverse of sheet.
Christmas Seals are also known as TB Seals, and are usually classified as Charity Seals, or Cinderella Stamps.