NCC223955_NOI 114529 Payment Verification_20221128

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/23/2022 5:07:59 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/28/2022 7:19:56 AM (Review - NOI 114529 4th and Green Apartments)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/23/2022 5:08 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 28, 2022 5:00
PM 11/23/2022 5:08 PM
by Workflow 11/28/2022 7:20:05 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/28/2022 8:38:56 AM (Payment Verification for NCC223955)
F Mike Sears
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/28/2022 8:37 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 9, 2023 5:00 PM
11/28/2022 7:20 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
4th and Green Apartments
Lot Numbers
(If listed on the eNOI)
Lot#1, PB. 66, PG. 61-62
NC Reference No.*
NCG01-2022-3955
Certificate of
NCC223955
Coverage (COC) No.*
Invoice Date
11/28/2022
Initial Invoice No.
NCC223955-2022
Initial Fee
$ 100.00
Invoice Due Date
12/28/2022
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
11/28/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
664363368
Transaction Number*
NOI Tracking No.
114529
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2022-4th and Green Apartments