NCC203140_NOI 28534 Payment Verification_20200724

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/20/2020 5:11:05 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 7/23/2020 8:17:13 AM (Review- Construction NOI 28534)
• Farkas, Jim J reassigned the task to Garcia, Lauren V 7/21/2020 7:50 AM
• The task was assigned to Farkas, Jim J by round robin distribution 7/20/2020 5:11 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 22, 2020 5:00 PM
7/20/2020 5:11 PM
Submit by Selkane, Aziza 7/24/2020 7:51:58 AM (Payment Verification for NCC203140)
* Elderhaus, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 7/24/2020 7:51 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 3, 2020 5:00
PM 7/23/2020 8:17 AM

SfA7$ q,
•
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Elderhaus
NC Reference No.*
NCG01-2020-3140
Certificate of
NCC203140
Coverage (COC)
No. *
Invoice Date
7/23/2020
Initial Invoice No.
NCC203140-2020
Initial Fee
$ 100.00
Invoice Due Date
8/22/2020
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.
Payment Status
PAID
Date Payme nt
7/24/2020
Received *
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
527500998
Transaction
Number*
NOI Tracking No.
28534
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-NEW I-1-2020-Elderhaus