NCC205640_NOI 38082 Payment Verification_20201209

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/3/2020 4:58:02 PM (NCG01 NOI Submission)
Approve by Morman, Alaina 12/7/2020 5:42:52 PM (Review- Construction NOI 38082)
• The task was assigned to Morman, Alaina by round robin distribution 12/3/2020 4:58 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 7, 2020 5:00
PM 12/3/2020 4:58 PM
Submit by Selkane, Aziza 12/9/2020 9:52:56 AM (Payment Verification for NCC205640)
* Riley Silknitter
• Selkane, Aziza assigned the task to Selkane, Aziza 12/9/2020 9:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 18, 2021 5:00 PM
12/7/2020 5:42 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Culvers Restaurant Winston-Salem, NC
NC Reference No.*
NCG01-2020-5640
Certificate of
NCC205640
Coverage (COC)
No. *
Invoice Date
12/7/2020
Initial Invoice No.
NCC205640-2020
Initial Fee
$ 100.00
Invoice Due Date
1/6/2021
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
12/9/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
548090612
Transaction
Number*
NOI Tracking No.
38082
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Culvers Restaurant Winston-Salem, NC