NCC230436_NOI 127248 Payment Verification_20230215

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/14/2023 1:58:41 PM (NCG01 NOI Submission)
Approve by Brooklyn. Broussard 2/15/2023 5:51:39 AM (Review - NOI 127248 Benson Holiday Inn Express)
• The task was assigned to Brooklyn. Broussard by round robin distribution 2/14/2023 1:59 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 17, 2023 5:00
PM 2/14/2023 1:59 PM
by Workflow 2/15/2023 5:51:45 AM (Workflow Start Event)
Submit by Tev.Holloman 2/15/2023 9:35:55 AM (Payment Verification for NCC230436)
F Benson Hotel Group II, LLC
• Tev.Holloman assigned the task to Tev.Holloman 2/15/2023 9:31 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 29, 2023 5:00 PM
2/15/2023 5:51 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Benson Holiday Inn Express
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2023-0436
Certificate of
NCC230436
Coverage (COC) No.*
Invoice Date
2/15/2023
Initial Invoice No.
NCC230436-2023
Initial Fee
$ 100.00
Invoice Due Date
3/17/2023
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
2/15/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
676682242
Transaction Number*
NOI Tracking No.
127248
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2023-Benson Holiday Inn Express