NCC193059_Payment Verification_20191206

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 12/4/2019 10:58:17 AM(NCG01 NOI Submission)
Approve by Clark, Paul 12/5/2019 12:41:02 PM(Review-Construction NOI 19112)
• The task was assigned to Clark, Paul by round robin distribution 12/4/2019 10:58 AM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 6,2019 5:00
PM 12/4/2019 10:58 AM
Submit by McCoy, Suzanne 12/6/2019 12:28:51 PM(Payment Verification for NCC193059)
* Glandon Forest Equity LLC
• McCoy,Suzanne assigned the task to McCoy, Suzanne 12/6/2019 12:28 PM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 16, 2020 5:00 PM
12/5/2019 12:41 PM

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F Payrnent Verification
V.
NORTH CAROLINA
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Project Tracking ID* NCC-NASH-2019-Dollar General Spring Hope
NC Reference No.* NCG01-2019-3059
Certificate of NCC193059
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 Payme nt 12/6/2019
Received*
Method of Payment* r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number* 15123
NOI Tracking No. 19112
Tracking ID referenced upon subrriftal
This is an Express r No
Review Project r Yes