NCC200847_Payment Verification_20200304

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/2/2020 12:45:36 PM (NCG01 NOI Submission)
Approve by Farkas, Jim J 3/2/2020 3:27:35 PM (Review- Construction NOI 22640)
• The task was assigned to Farkas, Jim J by round robin distribution 3/2/2020 12:45 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 4, 2020 5:00 PM
3/2/2020 12:45 PM
Submit by McCoy, Suzanne 3/4/2020 9:18:22 AM (Payment Verification for NCC200847)
* Cloudbreak investments llc
• McCoy, Suzanne assigned the task to McCoy, Suzanne 3/4/2020 9:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 13, 2020 5:00 PM
3/2/2020 3:27 PM

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•
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• yrnent Verification
NORTH CAROLINA
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Project Tracking ID* NCC-JOHNS-2020-Harden Creek
NC Reference No.*
NCG01-2020-0847
Certificate of
NCC200847
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 Payme nt
3/4/2020
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
506483420
NOI Tracking No.
22640
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes