NCC210483_NOI 41716 Payment Verification_20210129

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/25/2021 12:25:39 PM (NCG01 NOI Submission)
Approve by Clark, Paul 1/26/2021 2:47:11 PM (Review- Construction NOI 41716)
• The task was assigned to Clark, Paul by round robin distribution 1/25/2021 12:26 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 27, 2021 5:00
PM 1/25/2021 12:26 PM
Submit by Selkane, Aziza 1/29/2021 12:12:50 PM (Payment Verification for NCC210483)
* Rhetson Companies Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 1/29/2021 12:12 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 9, 2021 5:00 PM
1 /26/2021 2:47 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Clinton US 421 Dollar General
NC Reference No.*
NCG01-2021-0483
Certificate of
NCC210483
Coverage (COC)
No. *
Invoice Date
1/26/2021
Initial Invoice No.
NCC210483-2021
Initial Fee
$ 100.00
Invoice Due Date
2/25/2021
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
1 /29/2021
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
Check Number*
11218
NOI Tracking No.
41716
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-SAMPS-2021-Clinton US 421 Dollar General