NCC203636_NOI 30141 Payment Verification_20200902

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/19/2020 1:26:25 PM (NCG01 NOI Submission)
Approve by Morman, Alaina 8/20/2020 5:16:34 PM (Review- Construction NOI 30141)
• Morman, Alaina reassigned the task to Morman, Alaina 8/19/2020 1:37 PM
• The task was assigned to Gwinn, Matt by round robin distribution 8/19/2020 1:27 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 21, 2020 5:00
PM. The priority is: High 8/19/2020 1:27 PM
Submit by Selkane, Aziza 9/2/2020 8:18:03 AM (Payment Verification for NCC203636)
* Kevin Vogel
• Selkane, Aziza assigned the task to Selkane, Aziza 9/2/2020 8:17 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 1, 2020 5:00 PM.
The priority is: High 8/20/2020 5:17 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Centene East Coast Headquarters (Express Review)
NC Reference No.*
NCG01-2020-3636
Certificate of
NCC203636
Coverage (COC)
No. *
Invoice Date
8/20/2020
Initial Invoice No.
NCC203636-2020
Initial Fee
$ 100.00
Invoice Due Date
9/19/2020
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
9/2/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r^ NO PAYMENT RECEIVED
r Other
ePayment
533608588
Transaction
Number*
NOI Tracking No.
30141
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2020-Centene East Coast Headquarters (Express Review)