NCC192375_Payment Verification_20191018

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/15/2019 3:41:06 PM (NCG01 NOI Submission)
Approve by Clark, Paul 10/15/2019 3:59:47 PM (Review- Construction NOI 17232)
• The task was assigned to Clark, Paul by round robin distribution 10/15/2019 3:41 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 17, 2019 5:00
PM 10/15/2019 3:41 PM
Submit by Lucas, Annette 10/18/2019 12:10:30 PM (Payment Verification for NCC192375)
• Lucas, Annette assigned the task to Lucas, Annette 10/18/2019 12:10 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 26, 2019 5:00
PM 10/15/2019 4:00 PM

NORTH CAROLINA
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Project Tracking ID*
NCC-PERSO-2019-B&B Country Inn, LLC - RV Park
NC Reference No.*
NCG01-2019-2375
Certificate of
NCC192375
Coverage (COC)
No. *
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*
r Payment Received.
f Payment NOT RECEIVED.
Date Payment
10/18/2019
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
13756
NOI Tracking No.
17232
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes