NCC213143_NOI 53445 Payment Verification_20210526

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/24/2021 2:54:44 PM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 5/25/2021 9:36:42 AM (Review- Construction NOI 53445)
• The task was assigned to EADS\bcbroussard by round robin distribution 5/24/2021 2:55 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 26, 2021 5:00 PM
5/24/2021 2:55 PM
Submit by Selkane, Aziza 5/26/2021 9:29:13 AM (Payment Verification for NCC213143)
* Luke Bugenske
• Selkane, Aziza assigned the task to Selkane, Aziza 5/26/2021 9:28 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 6, 2021 5:00 PM
5/25/2021 9:37 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Adams Beverages Demo
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3143
Certificate of
NCC213143
Coverage (COC)
No.*
Invoice Date
5/25/2021
Initial Invoice No.
NCC213143-2021
Initial Fee
$ 100.00
Invoice Due Date
6/24/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
5/26/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
574487152
Transaction
Number*
NOI Tracking No.
53445
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2021-Adams Beverages Demo