NCC205162_NOI 35368 Payment Verification_20201203

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/9/2020 11:32:19 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 11/10/2020 4:46:33 PM (Review- Construction NOI 35368)
• Morman, Alaina reassigned the task to Morman, Alaina 11/9/2020 11:37 AM
• The task was assigned to Clark, Paul by round robin distribution 11/9/2020 11:33 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 11, 2020 5:00
PM 11/9/2020 11:33 AM
Submit by Selkane, Aziza 12/3/2020 3:53:01 PM (Payment Verification for NCC205162)
* LG AS NC Propco LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 12/3/2020 3:50 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 22, 2020 5:00
PM 11/10/2020 4:47 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Affordable Suites Hotel - Statesville Rd
NC Reference No.*
NCG01-2020-5162
Certificate of
NCC205162
Coverage (COC)
No. *
Invoice Date
11/10/2020
Initial Invoice No.
NCC205162-2020
Initial Fee
$ 100.00
Invoice Due Date
12/10/2020
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
12/3/2020
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*
800334
NOI Tracking No.
35368
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2020-Affordable Suites Hotel - Statesville Rd