NCC204383_NOI 32335 Payment Verification_20201002

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/30/2020 4:04:48 PM (NCG01 NOI Submission)
Approve by Clark, Paul 10/1/2020 4:15:10 PM (Review- Construction NOI 32335)
* Lib Ash LLC is an Illinois LLC filed on September 10, 2015. The company's filing status is listed as
Active
• The task was assigned to Clark, Paul by round robin distribution 9/30/2020 4:05 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 2, 2020 5:00
PM 9/30/2020 4:05 PM
Submit by Selkane, Aziza 10/2/2020 10:35:12 AM (Payment Verification for NCC204383)
* Shermin Pelinski
• Selkane, Aziza assigned the task to Selkane, Aziza 10/2/2020 10:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 12, 2020 5:00
PM 10/1/2020 4:15 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Fields Jaguar
NC Reference No.*
NCG01-2020-4383
Certificate of
NCC204383
Coverage (COC)
No. *
Invoice Date
10/1/2020
Initial Invoice No.
NCC204383-2020
Initial Fee
$ 100.00
Invoice Due Date
10/31/2020
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
10/2/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
538148811
Transaction
Number*
NOI Tracking No.
32335
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-BUNCO-2020-Fields Jaguar