NCC202005_Payment Verification_20200515

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/13/2020 5:20:36 PM (NCG01 NOI Submission)
Approve by Morman, Alaina 5/14/2020 10:57:19 AM (Review- Construction NOI 25602)
. The task was assigned to Morman, Alaina by round robin distribution 5/13/2020 5:20 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 15, 2020 5:00 PM
5/13/2020 5:20 PM
Submit by McCoy, Suzanne 5/15/2020 6:03:09 AM (Payment Verification for NCC202005)
* Baldwin Design Consultants
• McCoy, Suzanne assigned the task to McCoy, Suzanne 5/15/2020 6:02 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 25, 2020 5:00 PM
5/14/2020 10:57 AM

VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Tracking ID*
NCC-WAYNE-2020-Eastern Regional Pain Specialists
NC Reference No.*
NCG01-2020-2005
Certificate of
NCC202005
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
5/15/2020
Received*
Method of Payment*
r electronic
f check
r NO PAYMENT RECEIVED
f Other
ePayment
517263681
Transaction
Number*
NOI Tracking No.
25602
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes