NCC192362_Payment Verification_20191016

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/15/2019 10:46:10 AM (NCG01 NOI Submission)
Approve by McCoy, Suzanne 10/15/2019 12:36:23 PM (Review- Construction NOI 17186)
• McCoy, Suzanne reassigned the task to McCoy, Suzanne 10/15/2019 12:15 PM
• The task was assigned to Clark, Paul by round robin distribution 10/15/2019 10:46 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 17, 2019 5:00
PM 10/15/2019 10:46 AM
Submit by McCoy, Suzanne 10/16/2019 1:36:00 PM (Payment Verification for NCC192362)
* Iredell Health System
• McCoy, Suzanne assigned the task to McCoy, Suzanne 10/16/2019 1:35 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 26, 2019 5:00
PM 10/15/2019 12:36 PM

NORTH CAROUNA
Emiro mortal Qaafity
Project Tracking ID*
NCC-IREDE-2019-Bluefield Medical Mass Grading
NC Reference No.*
NCG01-2019-2362
Certificate of
NCC192362
Coverage (COC)
No. *
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Date Payment
10/16/2019
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
434382
NOI Tracking No.
17186
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes