NCC204825_NOI 33937 Payment Verification_20201030

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/23/2020 4:09:15 PM (NCG01 NOI Submission)
Approve by Clark, Paul 10/26/2020 11:54:32 AM (Review- Construction NOI 33937)
• The task was assigned to Clark, Paul by round robin distribution 10/23/2020 4:09 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 27, 2020 5:00
PM 10/23/2020 4:09 PM
Submit by Selkane, Aziza 10/30/2020 11:17:40 AM (Payment Verification for NCC204825)
* Robert J. Prestwood
• Selkane, Aziza assigned the task to Selkane, Aziza 10/30/2020 11:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 7, 2020 5:00
PM 10/26/2020 11:54 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Bethania Freedman's Park
NC Reference No.*
NCG01-2020-4825
Certificate of
NCC204825
Coverage (COC)
No. *
Invoice Date
10/26/2020
Initial Invoice No.
NCC204825-2020
Initial Fee
$ 100.00
Invoice Due Date
11/25/2020
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
10/30/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
542252472
Transaction
Number*
NOI Tracking No.
33937
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2020-Bethania Freedman's Park