J. R. Wise requests information from William A. Mercer related to the height of the ceilings of the one-story wings of the new hospital building. Wise notes that having the ceilings of the wings differ from the rest of the building would make it more difficult to add an additional story later on

Mercer forwards the letter to the Commissioner of Indian Affairs and recommends the change in height of the ceilings be approved. Also included is a note from various Office of Indian Affairs officials.