The label provided for in section 26:10-9 of this title shall contain the items specified below and be in substantially the following form:
"Official Statement
Material used in filling
Made by
Address
Vendor (or successive vendors)
Address
This article is made in compliance with article 2 of chapter 10 of the title Health and Vital Statistics of the Revised Statutes (s. 26:10-6 et seq.)."