NCC221543_NOI 88577 Payment Verification_20220421

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/20/2022 7:54:16 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/20/2022 8:44:25 AM (Review - NOI 88577 Camp Geiger Ambulatory Care Clinic
Replacement (P4638))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/20/2022 7:54 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 25, 2022 5:00 PM.
The priority is: High 4/20/2022 7:54 AM
by Workflow 4/20/2022 8:44:34 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/21/2022 10:41:19 AM (Payment Verification for NCC221543)
F Emerson Reich
• Selkane, Aziza assigned the task to Selkane, Aziza 4/21/2022 10:40 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 1, 2022 5:00 PM. The
priority is: High 4/20/2022 8:44 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Camp Geiger Ambulatory Care Clinic Replacement (P4638)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1543
Certificate of NCC221543
Coverage (COC) No.*
Invoice Date 4/20/2022
Initial Invoice No. NCC221543-2022
Initial Fee $ 100.00
Invoice Due Date 5/20/2022
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 4/21/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 629629893
Transaction Number*
NOI Tracking No. 88577
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2022-Camp Geiger Ambulatory Care Clinic Replacement (P4638)