NCC223329_NOI 106087 Payment Verification_20220922

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/21/2022 10:42:53 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/21/2022 10:46:34 AM (Review - NOI 106087 Insurance Auto Auction)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/21/2022 10:43 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 26, 2022 5:00
PM 9/21/2022 10:43 AM
by Workflow 9/21/2022 10:46:58 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/22/2022 8:25:53 AM (Payment Verification for NCC223329)
F GRP 1770 Union Ave. LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/22/2022 8:24 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 2, 2022 5:00 PM
9/21/2022 10:47 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Insurance Auto Auction
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3329
Certificate of NCC223329
Coverage (COC) No.*
Invoice Date 9/21/2022
Initial Invoice No. NCC223329-2022
Initial Fee $ 100.00
Invoice Due Date 10/21/2022
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 9/22/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 654225862
Transaction Number*
NOI Tracking No. 106087
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-IREDE-2022-Insurance Auto Auction