NCC215027_NOI 64103 Payment Verification_20210927

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/3/2021 8:17:01 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/3/2021 8:25:31 AM (Review- Construction NOI 64103)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/3/2021 8:17 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 7, 2021 5:00
PM 9/3/2021 8:17 AM
Submit by Selkane, Aziza 9/27/2021 10:01:39 AM (Payment Verification for NCC215027)
* Mitzi Owens
• Selkane, Aziza assigned the task to Selkane, Aziza 9/27/2021 10:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 15, 2021 5:00 PM
9/3/2021 8:25 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Foundation Homes Residential, LLC
Lot Numbers
(If listed on the eNU)
15
NC Reference No.*
NCG01-2021-5027
Certificate of
NCC215027
Coverage (COC)
No.*
Invoice Date
9/3/2021
Initial Invoice No.
NCC215027-2021
Initial Fee
$ 100.00
Invoice Due Date
10/3/2021
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
9/27/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
594329476
Transaction
Number*
NOI Tracking No.
64103
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-IREDE-2021-Foundation Homes Residential, LLC