NCC215374_NOI 66627 Payment Verification_20211004

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/27/2021 2:37:32 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/28/2021 7:56:52 AM (Review- Construction NOI 66627)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2021 2:38 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2021 5:00
PM 9/27/2021 2:38 PM
Submit by Selkane, Aziza 10/4/2021 3:34:16 PM (Payment Verification for NCC215374)
* City of Greensboro North Carolina
• Selkane, Aziza assigned the task to Selkane, Aziza 10/4/2021 3:33 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2021 5:00
PM 9/28/2021 7:57 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Contract 2014-040, College/New Garden Road Sidewalk Improvements (C-5555 E)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5374
Certificate of NCC215374
Coverage (COC)
No.*
Invoice Date 9/28/2021
Initial Invoice No. NCC215374-2021
Initial Fee $ 100.00
Invoice Due Date 10/28/2021
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 10/4/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 449397
NOI Tracking No. 66627
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-GUILF-2021-Contract 2014-040, College/New Garden Road Sidewalk
Improvements (C-5555 E)