NCC214938_NOI 63233 Payment Verification_20210830

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/30/2021 7:55:53 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/30/2021 8:08:41 AM (Review- Construction NOI 63233)
. The task was assigned to Broussard, Brooklyn C by round robin distribution 8/30/2021 7:56 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 1, 2021 5:00
PM. The priority is: High 8/30/2021 7:56 AM
Submit by Miller, Ariyelle L 8/30/2021 10:52:44 AM (Payment Verification for NCC214938)
* Island Pet Mobile Services
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/30/2021 10:47 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 11, 2021 5:00 PM.
The priority is: High 8/30/2021 8:09 AM

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• yrnent Verification
NORTH CAROLINA
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Project Name
Island Pet Veterinary Hospital & Animal House
Lot Numbers
(If listed on the eKO)
Lot 1
NC Reference No.*
NCG01-2021-4938
Certificate of
NCC214938
Coverage (COC)
No.*
Invoice Date
8/30/2021
Initial Invoice No.
NCC214938-2021
Initial Fee
$ 100.00
Invoice Due Date
9/29/2021
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.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
8/30/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
590253233
Transaction
Number*
NOI Tracking No.
63233
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CARTE-2021-Island Pet Veterinary Hospital & Animal House