Here's the sketch:
I used Koi Tattoo, isn't it cool!
And here's the whole she-bang:
I tried to use manufactured paper - I really did - but it looked so... bought... so I added a little gesso, some stenciling, Inktense blocks, gold paint! (for Julie Balzer's 2nd Floor Challenge), messy stitching.... ahh! Much better.
This is also my entry for the "Anything Goes" challenge at Simon Says Stamp and Show.