NCC213975_NOI 58398 Payment Verification_20210714

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/6/2021 12:33:52 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/7/2021 7:21:11 AM (Review- Construction NOI 58398)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/6/2021 12:34 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 8, 2021 5:00 PM
7/6/2021 12:34 PM
Submit by McCoy, Suzanne 7/14/2021 1:06:06 PM (Payment Verification for NCC213975)
* The East Group
• McCoy, Suzanne assigned the task to McCoy, Suzanne 7/14/2021 1:05 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 18, 2021 5:00 PM
7/7/2021 7:21 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name CHC Surgical Department Renovation
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-3975
Certificate of NCC213975
Coverage (COC)
No.*
Invoice Date 7/7/2021
Initial Invoice No. NCC213975-2021
Initial Fee $ 100.00
Invoice Due Date 8/6/2021
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.
Payment Status PAID
Date Payment 7/14/2021
Received* (Or, if not received, date rejected for no payment)
Method of Payment* r electronic
r check
f Other
Check Number* 735060
NOI Tracking No. 58398
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-CARTE-2021-CHC Surgical Department Renovation