NCC192671_Payment Verification_20191112

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/5/2019 5:30:24 PM (NCG01 NOI Submission)
Approve by Clark, Paul 11/7/2019 4:11:30 PM (Review- Construction NOI 18130)
• The task was assigned to Clark, Paul by round robin distribution 11/5/2019 5:30 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 7, 2019 5:00
PM 11/5/2019 5:30 PM
Submit by McCoy, Suzanne 11/12/2019 7:56:34 AM (Payment Verification for NCC192671)
* Vance Construction Co.
• McCoy, Suzanne assigned the task to McCoy, Suzanne 11/12/2019 7:56 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 19, 2019 5:00
PM 11/7/2019 4:11 PM

VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Tracking ID*
NCC-WAKE-2019-Brier Creek Medical Office
NC Reference No.*
NCG25-2019-2671
Certificate of
NCC192671
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.
r Payment NOT RECEIVED.
Date Payment
11 /12/2019
Received*
Method of Payment*
r electronic
f check
r NO PAYMENT RECEIVED
f Other
ePayment
488071721
Transaction
Number*
NOI Tracking No.
18130
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes