NCC223643_NOI 109884 Payment Verification_20221031

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/21/2022 2:38:09 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/24/2022 6:19:09 AM (Review - NOI 109884 Red Collar Dog)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/21/2022 2:38 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 26, 2022 5:00
PM 10/21/2022 2:38 PM
by Workflow 10/24/2022 6:19:13 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/31/2022 10:11:28 AM (Payment Verification for NCC223643)
P Albemarle Pet Crematoria
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/31/2022 10:08 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 5, 2022 5:00 PM
10/24/2022 6:19 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Red Collar Dog
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-3643
Certificate of
NCC223643
Coverage (COC) No.*
Invoice Date
10/24/2022
Initial Invoice No.
NCC223643-2022
Initial Fee
$ 100.00
Invoice Due Date
11/23/2022
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
10/31/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
2135
NOI Tracking No.
109884
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CAMDE-2022-Red Collar Dog