This is a birthday card Tina made for me back in 2004. I’m not sure what the situation was, but I think I may have just switched regular jobs at the time.
In this, you can see the “Joe Head” that Tina uses in pretty much all of the cards she makes for me. It was photocopied from a photograph that was taken when we first started dating. Since then, that same head has been copied, photographed, statted and finally scanned. See another example of the Joe Icon Head here.