NCC221871_NOI 91173 Payment Verification_20220517

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/13/2022 3:38:10 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/16/2022 8:57:40 AM (Review - NOI 91173 Ford Meadows lots 1-40)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/13/2022 3:38 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 18, 2022 5:00 PM
5/13/2022 3:38 PM
by Workflow 5/16/2022 8:57:48 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/17/2022 9:47:31 AM (Payment Verification for NCC221871)
F James Cox
• Selkane, Aziza assigned the task to Selkane, Aziza 5/17/2022 9:47 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 27, 2022 5:00 PM
5/16/2022 8:57 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Ford Meadows lots 1-40
Lot Numbers
(If listed on the eNOI)
1-40
NC Reference No.*
NCG01-2022-1871
Certificate of
NCC221871
Coverage (COC) No.*
Invoice Date
5/16/2022
Initial Invoice No.
NCC221871-2022
Initial Fee
$ 100.00
Invoice Due Date
6/15/2022
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
5/17/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
633901362
Transaction Number*
NOI Tracking No.
91173
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2022-Ford Meadows lots 1-40