NCC223413_NOI 107683 Payment Verification_20221011

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/29/2022 10:44:17 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/29/2022 10:50:53 AM (Review - NOI 107683 Duke Health Garner Medical Office
Building 01)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/29/2022 10:44 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 4, 2022 5:00 PM
9/29/2022 10:44 AM
by Workflow 9/29/2022 10:51:00 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/11/2022 8:39:01 AM (Payment Verification for NCC223413)
F NV Five
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/11/2022 8:38 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 10, 2022 5:00
PM 9/29/2022 10:51 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Duke Health Garner Medical Office Building 01
Lot Numbers (If listed on the eNOI)
N/A
NC Reference No.* NCG01-2022-3413
Certificate of NCC223413
Coverage (COC) No.*
Invoice Date 9/29/2022
Initial Invoice No. NCC223413-2022
Initial Fee $ 100.00
Invoice Due Date 10/29/2022
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 10/11/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 657086303
Transaction Number*
NOI Tracking No. 107683
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-WAKE-2022-Duke Health Garner Medical Office Building 01