A Quick Printable Image

I need something that looks similar to the following image in a printable version with a high resolution. The image will go in a word document and the text must be clear. Keep the black and white the same. Use "Times New Roman" in windows, or "New York" in a Mac. I do not want it to look blurry as the image is. It is just a bad copy. I would like everything to look crisp. The image is just giving you an idea of what the shapes should look like and the text should say. My preference would be that you create it using Word's drawing feature, and send it to me inside of a word document. That way I can cut and paste it, and make any changes I need to within the document. ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform MS Word on any platform