Primitive Autumn Leaves Hand Painted Tissue Box Cover with Color Choices. Perfect design for fall. This is a paper mache tissue cover that I hand painted with a simple yet pretty fall design. The saying Autumn Leaves is stenciled on with four fall leaves falling around in warm rich autumn colors of Red Brick, Garden Shed Green and Old Forge Mustard. Background color options are available. Paper Mache. Holds a boutique size tissue box, Size is 5"x5"x 5 1/2". Shown with a Marshmallow colored background. See list of choices. Hand painted, designed and signed by Heidi.