NCC216788_NOI 75101 Payment Verification_20211208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/7/2021 8:15:44 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/7/2021 9:07:54 AM (Review - Construction NOI 75101)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/7/2021 8:16 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 9, 2021 5:00
PM. The priority is: High 12/7/2021 8:16 AM
Submit by Evans, Shaundra M 12/8/2021 8:46:23 AM (Payment Verification for NCC216788)
IN Brian Walker
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/8/2021 8:45 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 18, 2022 5:00 PM.
The priority is: High 12/7/2021 9:08 AM

STA—
NORTH CAROLINA
Enylrmme tal Quallty
Project Name The Highlands at Bedford, Phase 4 and The Midlands at Bedford, Phase 3, Part
Two
Lot Numbers (If listed on the eNOI)
Highlands - Lots 171-173, 180-182, 186-189 & 195
Midlands Lots 230 & 231
NC Reference No.* NCG01-2021-6788
Certificate of NCC216788
Coverage (COC) No.*
Invoice Date 12/7/2021
Initial Invoice No. NCC216788-2021
Initial Fee $ 100.00
Invoice Due Date 1/6/2022
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 12/8/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 606707930
Transaction Number*
NOI Tracking No. 75101
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HOKE-2021-The Highlands at Bedford, Phase 4 and The Midlands at Bedford,
Phase 3, Part Two