I-4-1-93. Exhibit - Sample Certified Administrative Record

[AMENDED] COURT TRANSCRIPT INDEX

PAGE NO.

Exhibits List (Index to Individual Exhibits)^[1]

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Decision of Appeals Council, dated [User keys in date]

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Correspondence, dated [User keys in date]

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Action of Appeals Council on Request for Review, dated [User keys in date]

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Request for Review of Hearing Decision, dated [User keys in date]

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Hearing Decision, dated [User keys in date]

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Amended Notice of Hearing, dated [User keys in date]

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Appointment of Representative, dated [User keys in date]

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Notice of Hearing, dated [User keys in date]

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Acknowledgment of Request for Hearing, dated [User keys in date]

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Request for Hearing, dated [User keys in date]

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Transcript of Oral Hearing, dated [User keys in date]

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Order of Appeals Council Remanding Case to Administrative Law Judge, dated [User keys in date]

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Order of Appeals Council Receipt of Additional Evidence, dated [User keys in date]

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Exhibits

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Appeals Council Letter Granting an Extension of Time, dated [User keys in date]

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Appeals Council Notice Declining Jurisdiction, dated [User keys in date]

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Statement of Exceptions, dated [User keys in date]

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Supplemental Notice of Hearing, dated [User keys in date]

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Notice Vacating Reconsideration Determination and Remanding to State Agency, dated [User keys in date]

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