We discuss the self-adjoint spectral theory associated with a certain fourth-order non-Lagrangian symmetrizable ordinary differential equation t(4)[y] = lambday that has a sequence of orthogonal polynomial solutions. This example was first discovered by Jung, Kwon, and Lee. In their paper, they derive the remarkable formula for these polynomials {Q(n)(x)}(n=0)infinity : Q(n)(x) = n integral(1)(x) PLn-1(t)dt, n is an element of N, where {PLn(x)}(n=0)(infinity) are the left Legendre type polynomials. The left Legendre type polynomials and the spectral analysis of the associated symmetric fourth-order differential equation that they satisfy have been extensively studied previously by Krall, Loveland, Everitt, and Littlejohn.