NCC190171_Payment Verification_20190503

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/3/2019 10:38:12 AM (NCG01 NOI Submission)
Approve by Georgoulias, Bethany 5/3/2019 10:43:11 AM (Review- Construction NOI 10650)
• The task was assigned to Georgoulias, Bethany by round robin distribution 5/3/2019 10:38 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 7, 2019 5:00 PM
5/3/2019 10:38 AM
Submit by Georgoulias, Bethany 5/3/2019 10:43:39 AM (Payment Verification - NCG01-2019-0171)
• The task was assigned to Georgoulias, Bethany. The due date is: May 6, 2019 5:00 PM
5/3/2019 10:43 AM

Payrrient Verification
NORTH CAROUNA
Emiro mwfal Qaafity
Project Tracking ID*
NCC-ALAMA-2019-Twin Lakes Community Skilled Healthcare
Building
NC Reference No.*
NCG01-2019-0171
Certificate of
NCC190171
Coverage (COC)
No. *
Payment Received*
r Payment N/A.
r Payment NOT RECEIVED.
Date Payment
5/3/2019
Received
Check Number
NOI Tracking No.
10650
Tracking ID referenced in initial errail to applicant
This is an Express
r No
Review Project
r Yes