I've done one for each of my kids. I used the CM 8 1/2 x 11 album and very little decorating. I included pictures of our family members, friends, and other appropriate shots for each letter. I also included any die cuts and stickers for things that I didn't have pictures of. I wrote what each picture or sticker was below it. At the end I took stickers and did 1/2 page each for their numbers 1-10. I included the numeral and the number word for each.
Some of the harder ones: I- In, picture of her in a box; Icing, birthday picture with the cake Q- quilts, pictures of them on various quilts that we have U- Up, under, X- Xtra special people, pictures of our family and friends Y- Yell, her crying; Yucky, with food on her face
I loved doing these books. I didn't take any pictures specifically for this book, I just searched through what I had and made it work. My kids have also taken these books to school and church to share. We look at them often. Please let me know if you get stuck on any particular letter and I will try to help you out.