NCC222989_NOI 102573 Payment Verification_20220824

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/19/2022 2:38:56 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/22/2022 4:40:44 AM (Review - NOI 102573 Scotland Memorial Hospital, Inc.)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/19/2022 2:41 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 24, 2022 5:00
PM 8/19/2022 2:41 PM
by Workflow 8/22/2022 4:40:50 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/24/2022 11:18:43 AM (Payment Verification for NCC222989)
F Precision Contractors, Inc
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/24/2022 11:15 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 3, 2022 5:00 PM
8/22/2022 4:40 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Scotland Memorial Hospital, Inc.
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2989
Certificate of NCC222989
Coverage (COC) No.*
Invoice Date 8/22/2022
Initial Invoice No. NCC222989-2022
Initial Fee $ 100.00
Invoice Due Date 9/21/2022
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 8/24/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 42025
NOI Tracking No. 102573
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SCOTL-2022-Scotland Memorial Hospital, Inc.