NCC200170_Payment Verification_20200214

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 1/10/2020 5:02:35 PM(NCG01 NOI Submission)
Approve by Farkas,Jim J 1/14/2020 3:59:18 PM(Review-Construction NOI 20480)
• The task was assigned to Farkas,Jim J by round robin distribution 1/10/2020 5:02 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 14,2020 5:00
PM 1/10/2020 5:02 PM
Submit by Garcia, Lauren V 2/14/2020 2:15:25 PM(Payment Verification for NCC200170)
* Mindy Colden
• Garcia, Lauren V assigned the task to Garcia, Lauren V 2/14/2020 2:13 PM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 25, 2020 5:00
PM 1/14/2020 3:59 PM

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F Payrnent Verification
V.
NORTH CAROLINA
Envtro me tufQuuftty
Project Tracking ID* NCC-ORANG-2020-UNC Hospitals-Hillsborough Campus
NC Reference No.* NCG01-2020-0170
Certificate of NCC200170
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 2/14/2020
Received*
Method of Payment* r electronic
0 check
0 NO PAYMENT RECEIVED
r Other
ePayment 503305286
Transaction
Number*
NOI Tracking No. 20480
Tracking ID referenced upon submttal
This is an Express r No
Review Project r Yes