NCC205138_NOI 35280 Payment Verification_20201112

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/6/2020 11:04:56 AM (NCG01 NOI Submission)
Approve by Clark, Paul 11/9/2020 7:18:46 PM (Review- Construction NOI 35280)
• Garcia, Lauren V reassigned the task to Clark, Paul 11/9/2020 8:59 AM
• The task was assigned to Garcia, Lauren V by round robin distribution 11/6/2020 11:05 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 10, 2020 5:00
PM 11/6/2020 11:05 AM
Submit by Selkane, Aziza 11/12/2020 10:08:41 AM (Payment Verification for NCC205138)
* Greg Borden
• Selkane, Aziza assigned the task to Selkane, Aziza 11/12/2020 10:08 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 21, 2020 5:00
PM 11/9/2020 7:19 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
SECU Winston-Salem
NC Reference No.*
NCG01-2020-5138
Certificate of
NCC205138
Coverage (COC)
No. *
Invoice Date
11/9/2020
Initial Invoice No.
NCC205138-2020
Initial Fee
$ 100.00
Invoice Due Date
12/9/2020
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
11/12/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
543887948
Transaction
Number*
NOI Tracking No.
35280
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2020-SECU Winston-Salem