NCC223132_NOI 104554 Payment Verification_20220906

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/1/2022 2:23:24 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/2/2022 8:08:09 AM (Review - NOI 104554 Capital Independence)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/1/2022 2:25 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 6, 2022 5:00
PM 9/1/2022 2:25 PM
by Workflow 9/2/2022 8:08:21 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/6/2022 11:06:29 AM (Payment Verification for NCC223132)
F Elizabeth Perry
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/6/2022 11:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 14, 2022 5:00 PM
9/2/2022 8:08 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Capital Independence
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3132
Certificate of
NCC223132
Coverage (COC) No.*
Invoice Date
9/2/2022
Initial Invoice No.
NCC223132-2022
Initial Fee
$ 100.00
Invoice Due Date
10/2/2022
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
9/6/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
651282534
Transaction Number*
NOI Tracking No.
104554
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Capital Independence