NCC203159_NOI 28682 Payment Verification_20200724

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/22/2020 5:12:36 PM (NCG01 NOI Submission)
Approve by Morman, Alaina 7/23/2020 11:36:30 AM (Review- Construction NOI 28682)
• Morman, Alaina reassigned the task to Morman, Alaina 7/23/2020 8:19 AM
• The task was assigned to Garcia, Lauren V by round robin distribution 7/22/2020 5:13 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 24, 2020 5:00 PM
7/22/2020 5:13 PM
Submit by Selkane, Aziza 7/24/2020 7:58:52 AM (Payment Verification for NCC203159)
* Flagship Healthcare Operting Partnership, LP
• Selkane, Aziza assigned the task to Selkane, Aziza 7/24/2020 7:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 3, 2020 5:00
PM 7/23/2020 11:36 AM

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• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Briar Creek MOB Parking Lot
NC Reference No.*
NCG01-2020-3159
Certificate of
NCC203159
Coverage (COC)
No. *
Invoice Date
7/23/2020
Initial Invoice No.
NCC203159-2020
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
527548627
Transaction
Number*
NOI Tracking No.
28682
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2020-Briar Creek MOB Parking Lot