This dual carving was wonderfully created by modern artist extraordinaire Keith Pedersen. A hobo on the moon completely covers the obverse of this 2005 Nickel and the Monticello is expertly removed and replaced by a buffalo replicating the Indian head Nickel on the reverse. Very nice fine details. I like the contrast of the dark obverse and the highly polished reverse. 
Beautifully done,  shows way better in person,  gorgeous Art!