NCC221629_NOI 89093 Payment Verification_20220427

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/26/2022 9:05:28 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/26/2022 9:26:39 AM (Review - NOI 89093 MASON OAKS LOTS 79, 80, 81,
139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 14)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/26/2022 9:06 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 29, 2022 5:00 PM
4/26/2022 9:06 AM
by Workflow 4/26/2022 9:26:46 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/27/2022 9:04:52 AM (Payment Verification for NCC221629)
* Meredith Sweitzer
• Selkane, Aziza assigned the task to Selkane, Aziza 4/27/2022 9:03 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 7, 2022 5:00 PM
4/26/2022 9:26 AM

STA-
NORTH CAROLINA
Enylrmme tal Quallty
Project Name MASON OAKS LOTS 79, 80, 81, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148,
14
Lot Numbers (If listed on the eNOI)
LOTS 79, 80, 81, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149
NC Reference No.* NCG01-2022-1629
Certificate of NCC221629
Coverage (COC) No.*
Invoice Date 4/26/2022
Initial Invoice No.
NCC221629-2022
Initial Fee
$ 100.00
Invoice Due Date
5/26/2022
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* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 4/27/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 630666682
Transaction Number*
NOI Tracking No. 89093
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FRANK-2022-MASON OAKS LOTS 79, 80, 81, 139, 140, 141, 142, 143, 144,
145, 146, 147, 148, 14