NCC204526_NOI 32691 Payment Verification_20201012

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/7/2020 10:45:03 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 10/7/2020 10:54:05 AM (Review- Construction NOI 32691)
• The task was assigned to Garcia, Lauren V by round robin distribution 10/7/2020 10:45 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 9, 2020 5:00
PM 10/7/2020 10:45 AM
Submit by Selkane, Aziza 10/12/2020 9:45:07 AM (Payment Verification for NCC204526)
* Jonathan White
• Selkane, Aziza assigned the task to Selkane, Aziza 10/12/2020 9:41 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 18, 2020 5:00
PM 10/7/2020 10:54 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Neil Medical
NC Reference No.*
NCG01-2020-4526
Certificate of
NCC204526
Coverage (COC)
No. *
Invoice Date
10/7/2020
Initial Invoice No.
NCC204526-2020
Initial Fee
$ 100.00
Invoice Due Date
11/6/2020
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
10/12/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
ePayment
539403438
Transaction
Number*
NOI Tracking No.
32691
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-IREDE-2020-Neil Medical