This letter is addressed to the Commissioner of Indian Affairs but the sender is unknown. The letter is in regards to Jesse Paul and his health condition. The letter notifies the recipient that Jesse Paul is in the hospital for health related problems. Due to this illness there is a concern as to whether they will need to replace his position at the agency. They mention the great loss of Jesse Paul the year before where his wife and four children passed away within a few months. They commend Jesse Paul for his work and achievements and hope for a early recovery.