NCC210062_NOI 40403 Payment Verification_20210107

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/5/2021 9:31:02 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 1/6/2021 8:16:00 AM (Review- Construction NOI 40403)
• The task was assigned to Garcia, Lauren V by round robin distribution 1/5/2021 9:32 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 7, 2021 5:00
PM 1/5/2021 9:32 AM
Submit by Selkane, Aziza 1/7/2021 12:36:32 PM (Payment Verification for NCC210062)
* Jeannette Lucas
• Selkane, Aziza assigned the task to Selkane, Aziza 1/7/2021 12:35 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 17, 2021 5:00
PM 1/6/2021 8:16 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Sam's Xpress Car Wash
NC Reference No.*
NCG01-2021-0062
Certificate of
NCC210062
Coverage (COC)
No. *
Invoice Date
1/6/2021
Initial Invoice No.
NCC210062-2021
Initial Fee
$ 100.00
Invoice Due Date
2/5/2021
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
1 /7/2021
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
ePayment
552401030
Transaction
Number*
NOI Tracking No.
40403
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-WAKE-2021-Sam's Xpress Car Wash