NCC222675_NOI 98306 Payment Verification_20220804

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/22/2022 4:57:15 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/25/2022 7:30:48 AM (Review - NOI 98306 FV Family Entertainment Center)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/22/2022 4:57 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 27, 2022 5:00 PM
7/22/2022 4:57 PM
by Workflow 7/25/2022 7:30:56 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/4/2022 1:09:17 PM (Payment Verification for NCC222675)
F McRolling Properties LLC
• Tran, Kieu M assigned the task to Tran, Kieu M 8/4/2022 1:08 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 5, 2022 5:00 PM
7/25/2022 7:31 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
FV Family Entertainment Center
Lot Numbers
(If listed on the eNOI)
Lot 7&7B
NC Reference No.*
NCG01-2022-2675
Certificate of
NCC222675
Coverage (COC) No.*
Invoice Date
7/25/2022
Initial Invoice No.
NCC222675-2022
Initial Fee
$ 100.00
Invoice Due Date
8/24/2022
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
8/4/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1020
NOI Tracking No.
98306
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2022-FV Family Entertainment Center