NCC192641_Payment Verification_20191106

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/31/2019 2:35:36 PM (NCG01 NOI Submission)
Approve by Farkas, Jim J 11/1/2019 3:16:03 PM (Review- Construction NOI 17975)
• The task was assigned to Farkas, Jim J by round robin distribution 10/31/2019 2:36 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 4, 2019 5:00
PM 10/31/2019 2:36 PM
Submit by Garcia, Lauren V 11/6/2019 3:16:06 PM (Payment Verification for NCC192641)
* Josh Lane
• Garcia, Lauren V assigned the task to Garcia, Lauren V 11/6/2019 3:06 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 13, 2019 5:00
PM 11/1/2019 3:16 PM

NORTH CAROLINA
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Project Tracking ID*
NCC-CRAVE-2019-Wiiliam S. Lane, Jr. Facility
NC Reference No.*
NCG01-2019-2641
Certificate of
NCC192641
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.
f Payment NOT RECEIVED.
Date Payment
11/6/2019
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
e Payme nt
48700057
Transaction
Number*
NOI Tracking No.
17975
Tracking IDreferenced upon subrrittal
This is an Express
r No
Review Project
r Yes