The "Happy Birthday" is from the Remembering Your Birthday stamp set and is a part of one of the stamps. We just used a marker to ink just the "Happy Birthday".
I embossed the Mint Macaron paper using the Confetti folder and then took some silver Encore ink and lightly brushed the raised portions. The honeycomb balloon in only attached on one side for mailing. A little note to the recipient that they can peel off the backing and press down the other side so their balloon stays open is all you need to provide them. Finally, the little clouds? They are the cupcake top from the Cupcake Builder punch and punched out of Post-It notes to create masks for sponging the background.