NCC204087_NOI 31557 Payment Verification_20200922

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/17/2020 12:34:36 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 9/17/2020 2:31:11 PM (Review- Construction NOI 31557)
• The task was assigned to Garcia, Lauren V by round robin distribution 9/17/2020 12:35 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 21, 2020 5:00
PM 9/17/2020 12:35 PM
Submit by Selkane, Aziza 9/22/2020 3:18:19 PM (Payment Verification for NCC204087)
* Freedom Opportunity Fund LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 9/22/2020 3:17 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 29, 2020 5:00 PM
9/17/2020 2:31 PM

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•
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• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Freedom Drive MOB
NC Reference No.*
NCG01-2020-4087
Certificate of
NCC204087
Coverage (COC)
No. *
Invoice Date
9/17/2020
Initial Invoice No.
NCC204087-2020
Initial Fee
$ 100.00
Invoice Due Date
10/17/2020
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
9/22/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r^ NO PAYMENT RECEIVED
f Other
Check Number*
1176
NOI Tracking No.
31557
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MONTG-2020-Freedom Drive MOB