NCC230112_NOI 122469 Payment Verification_20230120

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/12/2023 11:28:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/12/2023 12:37:26 PM (Review - NOI 122469 KBI Biopharma - Warehouse Reno
- Phase II)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/12/2023 11:29 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 17, 2023 5:00
PM 1/12/2023 11:29 AM
by Workflow 1/12/2023 12:37:34 PM (Workflow Start Event)
Submit by Holloman, Tevye L 1/20/2023 9:15:16 AM (Payment Verification for NCC230112)
F Sharon Medlin
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/20/2023 9:14 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 23, 2023 5:00 PM
1/12/2023 12:37 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name KBI Biopharma - Warehouse Reno - Phase II
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-0112
Certificate of NCC230112
Coverage (COC) No.*
Invoice Date 1/12/2023
Initial Invoice No. NCC230112-2023
Initial Fee $ 100.00
Invoice Due Date 2/11/2023
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 1/20/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 672430441
Transaction Number*
NOI Tracking No. 122469
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DURHA-2023-KBI Biopharma - Warehouse Reno - Phase 11