NCC210676_NOI 42602 Payment Verification_20210203

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/2/2021 11:12:56 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 2/2/2021 3:10:15 PM (Review- Construction NOI 42602)
• The task was assigned to Garcia, Lauren V by round robin distribution 2/2/2021 11:13 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 4, 2021 5:00
PM 2/2/2021 11:13 AM
Submit by Selkane, Aziza 2/3/2021 10:27:20 AM (Payment Verification for NCC210676)
* Timothy Sealey
• Selkane, Aziza assigned the task to Selkane, Aziza 2/3/2021 10:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 16, 2021 5:00 PM
2/2/2021 3:10 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
DSI Properties
NC Reference No.*
NCG01-2021-0676
Certificate of
NCC210676
Coverage (COC)
No. *
Invoice Date
2/2/2021
Initial Invoice No.
NCC210676-2021
Initial Fee
$ 100.00
Invoice Due Date
3/4/2021
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
2/3/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
556669519
Transaction
Number*
NOI Tracking No.
42602
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CUMBE-2021-DSI Properties