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Help ID this label

I have a roll of these 3-part labels  and would like to use them for printing shipping. However, I need to find the maker/number of the label in order to find a template. These are in a roll with a 3" core. I am attaching a drawing as a photo of the label itself may prove difficult to see the parts. In the drawing, each square equals 1/4". Does anyone here know what this label is? Thanks.Mysterylabel_0001_0001.jpg

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