NCC204119_NOI 31452 Payment Verification_20200922

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/15/2020 11:16:53 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 9/18/2020 3:33:43 PM (Review- Construction NOI 31452)
• Morman, Alaina reassigned the task to Morman, Alaina 9/15/2020 11:22 AM
• The task was assigned to Garcia, Lauren V by round robin distribution 9/15/2020 11:17 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 17, 2020 5:00
PM 9/15/2020 11:17 AM
Submit by Selkane, Aziza 9/22/2020 8:56:25 AM (Payment Verification for NCC204119)
* Randolph Building Supply LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 9/22/2020 8:55 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 30, 2020 5:00 PM
9/18/2020 3:34 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
4098 Barrett Drive
NC Reference No.*
NCG01-2020-4119
Certificate of
NCC204119
Coverage (COC)
No. *
Invoice Date
9/18/2020
Initial Invoice No.
NCC204119-2020
Initial Fee
$ 100.00
Invoice Due Date
10/18/2020
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
9/22/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r^ NO PAYMENT RECEIVED
r Other
Check Number*
8799
NOI Tracking No.
31452
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-RANDO-2020-4098 Barrett Drive