NCC223985_NOI 115534 Payment Verification_20221206

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/29/2022 1:34:48 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/30/2022 6:50:11 AM (Review - NOI 115534 Georgetown Senior Apartments)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/29/2022 1:36 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 2, 2022 5:00
PM 11/29/2022 1:36 PM
by Workflow 11/30/2022 6:50:20 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/6/2022 12:21:42 PM (Payment Verification for NCC223985)
F Buckeye Community Hope Foundation Development Division
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/6/2022 12:20 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 11, 2023 5:00 PM
11/30/2022 6:50 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Georgetown Senior Apartments
Lot Numbers
(If listed on the eNOI)
1
NC Reference No.*
NCG01-2022-3985
Certificate of
NCC223985
Coverage (COC) No.*
Invoice Date
11/30/2022
Initial Invoice No.
NCC223985-2022
Initial Fee
$ 100.00
Invoice Due Date
12/30/2022
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
12/6/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
012607
NOI Tracking No.
115534
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2022-Georgetown Senior Apartments