NCC204785_NOI 33511 Payment Verification_20201023

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/20/2020 4:02:13 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 10/22/2020 4:16:44 PM (Review- Construction NOI 33511)
• The task was assigned to Garcia, Lauren V by round robin distribution 10/20/2020 4:02 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 22, 2020 5:00
PM. The priority is: High 10/20/2020 4:02 PM
Submit by Selkane, Aziza 10/23/2020 9:36:04 AM (Payment Verification for NCC204785)
* Julie Shih Mavis Tire
• Selkane, Aziza assigned the task to Selkane, Aziza 10/23/2020 9:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 3, 2020 5:00 PM.
The priority is: High 10/22/2020 4:17 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
High Point Mavis Discount Tire
NC Reference No.*
NCG01-2020-4785
Certificate of
NCC204785
Coverage (COC)
No. *
Invoice Date
10/22/2020
Initial Invoice No.
NCC204785-2020
Initial Fee
$ 100.00
Invoice Due Date
11/21/2020
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
10/23/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
541350071
Transaction
Number*
NOI Tracking No.
33511
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GUILF-2020-High Point Mavis Discount Tire