NCC230093_NOI 122279 Payment Verification_20230112

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/11/2023 9:23:01 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/11/2023 9:27:57 AM (Review - NOI 122279 Brooks Global Elementary School)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/11/2023 9:24 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 16, 2023 5:00
PM 1/11/2023 9:24 AM
by Workflow 1/11/2023 9:28:06 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/12/2023 10:02:39 AM (Payment Verification for NCC230093)
* Keith Downing
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/12/2023 10:01 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 22, 2023 5:00 PM
1 /11 /2023 9:28 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Brooks Global Elementary School
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2023-0093
Certificate of
NCC230093
Coverage (COC) No.*
Invoice Date
1/11/2023
Initial Invoice No.
NCC230093-2023
Initial Fee
$ 100.00
Invoice Due Date
2/10/2023
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
1/12/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
671078439
Transaction Number*
NOI Tracking No.
122279
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-GUILF-2023-Brooks Global Elementary School