The letter is a recommendation for Mr. John Spaan to be promoted to the position of Executive Officer in the Oklahoma City Area Office of the Public Health Service's Division of Indian Health. The recommendation comes from Governor Overton James of the Chickasaw Nation, who highlights Spaan's 10 years of experience with the Public Health Service and his knowledge of the health conditions and needs of Oklahoma Indians. The letter also mentions that other tribal leaders have recommended Spaan for the position. Congressman Carl Albert, who received the recommendation, expresses gratitude for Governor James' support and mentions that they have also recommended Spaan for the position.