NCC240087_NOI 177268 Payment Verification_20240126

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/9/2024 9:09:41 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/10/2024 7:18:54 AM (Review-NOI 177268 Word of Life)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 12,2024 5:00
PM 1/9/2024 9:09:51 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/9/2024 9:09:51 PM
Submit by Tev.Holloman 1/26/2024 10:01:25 AM(Payment Verification for NCC240087)
0 Lydia Henry Word of Life Church
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 21,2024 5:00 PM
1/10/2024 7:19:10 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/26/2024 10:01:01 AM

Payment Verification
NORTH CAROLINA
EnWronmenlal Quality
Project Name Word of Life
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.* NCG01-2024-0087
Certificate of NCC240087
Coverage(COC)No.*
Invoice Date 1/10/2024
Initial Invoice No. NCC240087-2024
Initial Fee $ 120.00
Invoice Due Date 2/9/2024
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 1/26/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 730310846
Transaction Number*
NOI Tracking No. 177268
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2024-Word of Life