NCC216365_NOI 73005 Payment Verification_20211124

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/11/2021 12:07:20 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/12/2021 10:42:03 AM (Review - Construction NOI 73005)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/11/2021 12:08 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 15, 2021 5:00
PM 11/11/2021 12:08 PM
Submit by Evans, Shaundra M 11/24/2021 8:17:14 AM (Payment Verification for NCC216365)
F Greg Perreault
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/24/2021 8:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 24, 2021 5:00
PM 11/12/2021 10:42 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Asbury Chapel Farmhouse Cluster (#414961)
Lot Numbers
(If listed on the eNOI)
Lot 5
NC Reference No.*
NCG01-2021-6365
Certificate of
NCC216365
Coverage (COC) No.*
Invoice Date
11/12/2021
Initial Invoice No.
NCC216365-2021
Initial Fee
$ 100.00
Invoice Due Date
12/12/2021
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*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
11/24/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
604508453
Transaction Number*
NOI Tracking No.
73005
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2021-Asbury Chapel Farmhouse Cluster (#414961)