NCC210314_NOI 41173 Payment Verification_20210120

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/15/2021 12:20:18 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 1/19/2021 8:48:31 AM (Review- Construction NOI 41173)
• The task was assigned to Meloy, Michael by round robin distribution 1/15/2021 12:20 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 19, 2021 5:00
PM 1/15/2021 12:20 PM
Submit by Selkane, Aziza 1/20/2021 8:27:28 AM (Payment Verification for NCC210314)
* Gary Pierce
• Selkane, Aziza assigned the task to Selkane, Aziza 1/20/2021 8:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 2, 2021 5:00 PM
1/19/2021 8:49 AM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
K&M Tire - AMMCO, LLC
NC Reference No.*
NCG01-2021-0314
Certificate of
NCC210314
Coverage (COC)
No. *
Invoice Date
1/19/2021
Initial Invoice No.
NCC210314-2021
Initial Fee
$ 100.00
Invoice Due Date
2/18/2021
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 /20/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
554452372
Transaction
Number*
NOI Tracking No.
41173
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CATAW-2021-K&M Tire - AMMCO, LLC