NCC205289_NOI 36438 Payment Verification_20201118

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/17/2020 4:58:53 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 11/18/2020 8:37:40 AM (Review- Construction NOI 36438)
• The task was assigned to Meloy, Michael by round robin distribution 11/17/2020 5:00 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 19, 2020 5:00
PM 11/17/2020 5:00 PM
Submit by Selkane, Aziza 11/18/2020 10:45:41 AM (Payment Verification for NCC205289)
* Carolina Commercial Contractors, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 11/18/2020 10:45 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 30, 2020 5:00
PM 11/18/2020 8:38 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Smithfield Independent Living Facility
NC Reference No.*
NCG01-2020-5289
Certificate of
NCC205289
Coverage (COC)
No. *
Invoice Date
11/18/2020
Initial Invoice No.
NCC205289-2020
Initial Fee
$ 100.00
Invoice Due Date
12/18/2020
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
11/18/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
Check Number*
11260
NOI Tracking No.
36438
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-JOHNS-2020-Smithfield Independent Living Facility