NCC231211_NOI 137662 Payment Verification_20230426

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/25/2023 9:42:04 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/25/2023 9:45:03 AM (Review-NOI 137662 Biogen Gene Therapy)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 28,2023 5:00 PM
4/25/2023 9:42:12 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/25/2023 9:42:13 AM
Submit by Tev.Holloman 4/26/2023 10:45:21 AM(Payment Verification for NCC231211)
•Jeff Ward
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 6,2023 5:00 PM
4/25/2023 9:45:50 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/26/2023 10:44:55 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Biogen Gene Therapy
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-1211
Certificate of NCC231211
Coverage(COC)No.*
Invoice Date 4/25/2023
Initial Invoice No. NCC231211-2023
Initial Fee $ 100.00
Invoice Due Date 5/25/2023
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 4/26/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 688018335
Transaction Number*
NOI Tracking No. 137662
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DURHA-2021-Biogen Gene Therapy