NCC210642_NOI 42537 Payment Verification_20210219

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/1/2021 3:50:07 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 2/2/2021 8:47:35 AM (Review- Construction NOI 42537)
• The task was assigned to Meloy, Michael by round robin distribution 2/1/2021 3:50 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 3, 2021 5:00
PM 2/1/2021 3:50 PM
Submit by McCoy, Suzanne 2/19/2021 7:56:08 AM (Payment Verification for NCC210642)
* Cindy Hensley
• McCoy, Suzanne assigned the task to McCoy, Suzanne 2/19/2021 7:55 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 16, 2021 5:00 PM
2/2/2021 8:48 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
CaroMont Regional Medical Center - Belmont
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-0642
Certificate of
NCC210642
Coverage (COC)
No.*
Invoice Date
2/2/2021
Initial Invoice No.
NCC210642-2021
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 eNOI at this step.
Payment Received* r Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
2/19/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
559217822
Transaction
Number*
NOI Tracking No.
42537
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GASTO-2021-CaroMont Regional Medical Center - Belmont