MTMEPPS73; this one is lots of fun. I used the Hauntingly Homemade Labels stamp set along with the Hauntingly Homemade cut file to make the image panel.
The label was colored in PSE9; I used the print and cut feature of Silhouette Studio to cut it out. Instead of tying ribbon all the way around the image panel, I just threaded a button with some hemp cord and attached it to a hemp cord bow.
Be sure to visit the rest of the Design Team, they really rocked it out; you'll also want to visit the MTME blog to see the sketch as well as find out how you can win this month's prize package just by playing along.