Single leaf measuring 9¾ × 7⅞ inches (25 × 20 cm). The paper is ruled with twenty-nine horizontal lines printed in blue ink. The document was trifolded and docketed for filing.

The document was filed by , who served as JS’s scribe from December 1841 until JS’s death in June 1844 and served as church historian from December 1842 until his own death in March 1854. The Church Historical Department (now CHL) published a register of the JS Collection in 1973. However, the department’s staff continued to locate documents authored by or directed to JS in uncataloged church financial records and in name and subject files. The department also acquired additional JS documents from donors, collectors, and dealers. These newly located and acquired documents were kept together in a supplement to the JS Collection that was closed to further acquisitions in 1984 and was named the JS Collection (Supplement), 1833–1844. The document’s notation and later inclusion in the JS Collection Supplement suggest continuous institutional custody.