NCC240250_NOI 179374 Payment Verification_20240202

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/26/2024 11:19:35 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/26/2024 11:25:25 AM (Review-NOI 179374 Fifth Third Bank-1800 Fordham
Boulevard)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 31,2024 5:00
PM 1/26/2024 11:19:43 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/26/2024 11:19:43 AM
Submit by Tev.Holloman 2/2/2024 10:47:53 AM (Payment Verification for NCC240250)
0 Keri C Polowy
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: March 8,2024 5:00 PM
1/26/2024 11:25:40 AM
• Tev.Holloman assigned the task to Tev.Holloman 2/2/2024 10:47:21 AM

Payment Verification
NORTH CAROLINA
EnWronmenlal Quality
Project Name Fifth Third Bank-1800 Fordham Boulevard
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.* NCG01-2024-0250
Certificate of NCC240250
Coverage(COC)No.*
Invoice Date 1/26/2024
Initial Invoice No. NCC240250-2024
Initial Fee $ 120.00
Invoice Due Date 2/25/2024
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 2/2/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 731291076
Transaction Number*
NOI Tracking No. 179374
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ORANG-2024-Fifth Third Bank- 1800 Fordham Boulevard