A US visa is simply permission to present yourself at a port of entry for admission, at which time you may questioned further by border control, and in rare cases denied entry.
Most B visas are valid for multiple entries over 10 years. The fact that you wrote a letter and brought it to your original visa interview (which may have been years ago, and likely wasn't even looked at by the officer, who in a busy consulate has less than 2 minutes to complete your interview) does not mean the US government has affirmatively granted you permisison to do everything on that letter.