I used my ProMarkers to color the image, then cut it with a CUTplorations die. I added shiny highlights on the balloons with a white gel pen. Everything else on the card was made from scraps! I cut 2 tags, one purple and the other yellow, then cut the sentiment out of the purple one with a Dove Craft die (a gift from a dear friend in the UK. :-D) I layered the yellow tag behind the purple one and, voila', a bright sentiment peeking through the dark purple!
The fancy frame around the whole card front was a leftover which had been cut with a Spellbinders die. I added the image to it with part of the image behind the frame piece but with one corner peeking out. I used a scrap of gingham ribbon to make a double layer bowtie and layered everything onto an aqua card base.