I saw this card recently so decided to figure it out. I have the Top Note Die from Stampin Up that was used to make the card. All you do is fold your card then put the fold just below the the dots on the top of the die. Once you punch it out, the two sides stay connected. Next you punch out the black piece (or whatever color you choose) and cut just inside the dots. These are also embossed but that didn't show up in my picture. I then cut out my butterflies on the Cricut using the Indy Art cartridge. Such a cute idea and I always need birthday cards. These would make beautiful Sympathy cards as well.