The letter is a recommendation for Mr. John Spaan for an executive officer position in the Oklahoma City Area office of the U.S. Public Health Service's Division of Indian Health. The letter acknowledges Mr. Spaan's qualifications and the recommendation from the Personnel Director of Oklahoma City Public Schools. However, it is mentioned that the position has already been filled. The recommendation is passed on to the Director of the Division of Indian Health in Washington for future consideration. The letter from the Personnel Director highlights Mr. Spaan's qualifications and personal qualities that make him a strong candidate for the position.