NCC220628_NOI 80517 Payment Verification_20220204

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/2/2022 12:05:01 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/3/2022 7:37:00 AM (Review - NOI 80517 Carolina Pets Animal Hospital)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/2/2022 12:05 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 4, 2022 5:00
PM 2/2/2022 12:05 PM
by Workflow 2/3/2022 7:37:07 AM (Workflow Start Event)
Submit by Morman, Alaina 2/4/2022 9:32:53 AM (Payment Verification for NCC220628)
F Heather Meyers
• Morman, Alaina assigned the task to Morman, Alaina 2/4/2022 9:32 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 17, 2022 5:00 PM
2/3/2022 7:37 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Carolina Pets Animal Hospital
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-0628
Certificate of NCC220628
Coverage (COC) No.*
Invoice Date 2/3/2022
Initial Invoice No. NCC220628-2022
Initial Fee $ 100.00
Invoice Due Date 3/5/2022
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 2/4/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 616435869
Transaction Number*
NOI Tracking No. 80517
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-UNION-2022-Carolina Pets Animal Hospital