NCC205275_NOI 36394 Payment Verification_20201120

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/17/2020 12:50:18 PM (NCG01 NOI Submission)
Approve by Clark, Paul 11/17/2020 2:21:44 PM (Review- Construction NOI 36394)
• The task was assigned to Clark, Paul by round robin distribution 11/17/2020 12:51 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 19, 2020 5:00
PM 11/17/202012:51 PM
Submit by Selkane, Aziza 11/20/2020 8:38:37 AM (Payment Verification for NCC205275)
* Live Well Homes LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 11/20/2020 8:37 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 29, 2020 5:00
PM 11/17/2020 2:22 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Blu South Single Family
NC Reference No.*
NCG01-2020-5275
Certificate of
NCC205275
Coverage (COC)
No. *
Invoice Date
11/17/2020
Initial Invoice No.
NCC205275-2020
Initial Fee
$ 100.00
Invoice Due Date
12/17/2020
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
11 /20/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
545310301
Transaction
Number*
NOI Tracking No.
36394
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2020-Blu South Single Family