NCC204228_NOI 31983 Payment Verification_20201001

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/24/2020 3:32:57 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 9/24/2020 4:37:31 PM (Review- Construction NOI 31983)
• Morman, Alaina reassigned the task to Meloy, Michael 9/24/2020 3:34 PM
. The task was assigned to Morman, Alaina by round robin distribution 9/24/2020 3:33 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 28, 2020 5:00
PM 9/24/2020 3:33 PM
Submit by Selkane, Aziza 10/1/2020 2:53:02 PM (Payment Verification for NCC204228)
* Wentworth Holdings LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 10/l/2020 2:52 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 5, 2020 5:00
PM 9/24/2020 4:37 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Wentworth Holdings, LLC Rehab
NC Reference No.*
NCG01-2020-4228
Certificate of
NCC204228
Coverage (COC)
No. *
Invoice Date
9/24/2020
Initial Invoice No.
NCC204228-2020
Initial Fee
$ 100.00
Invoice Due Date
10/24/2020
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 Payment
10/1/2020
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*
1009
NOI Tracking No.
31983
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-ROCKI-2020-Wentworth Holdings, LLC Rehab