These pages were done using clip art from Grandma George's. She has some wonderful artwork to help you embellish your pages. The printing was done by hand. I scanned the photo of my grandson and duplicated it 4 times to make the quilt block on the right. The hearts on the right were colored with watercolor pencils. I used my very favorite scrapbook tool - the same rotary cutter, mat and ruler I use for my quilting. It hasn't hurt the blade, and I just sharpen it every now and then.