NCC232926_NOI 161151 Payment Verification_20230927

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/26/2023 2:48:23 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/27/2023 6:27:45 AM (Review-NOI 161151 Senior&Veterans Services Center)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 29,2023 5:00
PM 9/26/2023 2:48:31 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/26/2023 2:48:31 PM
Submit by Tev.Holloman 9/27/2023 12:28:15 PM (Payment Verification for NCC232926)
P Kelli Gill
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 8,2023 5:00 PM
9/27/2023 6:28:00 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/27/2023 12:27:52 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Senior&Veterans Services Center
Is this project funded with ARPA(American Rescue Plan Act)grant funds?
No
Yes
CONFIRMED ARPA Project Number(if applicable)
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-2926
Certificate of NCC232926
Coverage(COC)No.*
Invoice Date 9/27/2023
Initial Invoice No. NCC232926-2023
Initial Fee $ 100.00
Invoice Due Date 10/27/2023
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 9/27/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 711928267
Transaction Number*
NOI Tracking No. 161151
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DUPLI-2023-Senior&Veterans Services Center