NCC202912_NOI 27983 Payment Verification_20200713

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 7/8/2020 5:01:11 PM(NCG01 NOI Submission)
Approve by Clark, Paul 7/10/2020 12:54:35 PM(Review-Construction NOI 27983)
• The task was assigned to Clark, Paul by round robin distribution 7/8/2020 5:02 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 10,2020 5:00 PM
7/8/2020 5:02 PM
Submit by Selkane,Aziza 7/13/2020 8:52:05 AM(Payment Verification for NCC202912)
* S Scott Summerlin Town of Warsaw
• Selkane,Aziza assigned the task to Selkane,Aziza 7/13/2020 8:50 AM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 21, 2020 5:00 PM
7/10/2020 12:55 PM

SfA7$q,
F Payrnent Verification
V.
NORTH CAROLINA
Envlro me tufQuuftty
Project Name Town of Warsaw
NC Reference No.* NCG01-2020-2912
Certificate of NCC202912
Coverage (COC)
No.*
Invoice Date 7/10/2020
Initial Invoice No. NCC202912-2020
Initial Fee $ 100.00
Invoice Due Date 8/9/2020
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* r Payment Received.
r Payment NOT RECEIVED.
Payment Status PAID
Date Payment 7/13/2020
Received*
Method of Payment* r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment 525683164
Transaction
Number*
NOI Tracking No. 27983
Tracking ID referenced upon submittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-DUPLI-2020-Town of Warsaw