NCC222381_NOI 95305 Payment Verification_20220630

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/28/2022 10:56:07 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/29/2022 7:00:54 AM (Review - NOI 95305 Dr. Joel Fox Veterinary Clinic)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/28/2022 10:56 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 1, 2022 5:00 PM
6/28/2022 10:56 AM
by Workflow 6/29/2022 7:01:02 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/30/2022 6:55:18 PM (Payment Verification for NCC222381)
F Latoysha Burton
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 6/30/2022 5:56 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 10, 2022 5:00 PM
6/29/2022 7:01 AM

VerificationPayment
NORTH CAROLINA
Environmental Quallty
Project Name
Dr. Joel Fox Veterinary Clinic
Lot Numbers
(If listed on the eNOI)
1
NC Reference No.*
NCG01-2022-2381
Certificate of
NCC222381
Coverage (COC) No.*
Invoice Date
6/29/2022
Initial Invoice No.
NCC222381-2022
Initial Fee
$ 100.00
Invoice Due Date
7/29/2022
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
6/30/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
640596046
Transaction Number*
NOI Tracking No.
95305
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2022-Dr. Joel Fox Veterinary Clinic