NCC203489_NOI 29768 Payment Verification_20200813

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/11/2020 2:10:27 PM (NCG01 NOI Submission)
Approve by Clark, Paul 8/12/2020 3:48:56 PM (Review- Construction NOI 29768)
• Morman, Alaina reassigned the task to Clark, Paul 8/11/2020 3:14 PM
• The task was assigned to Morman, Alaina by round robin distribution 8/11/2020 2:11 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 13, 2020 5:00
PM 8/11/2020 2:11 PM
Submit by Selkane, Aziza 8/13/2020 3:13:15 PM (Payment Verification for NCC203489)
* David 8 Washburn
• Selkane, Aziza assigned the task to Selkane, Aziza 8/13/2020 3:12 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 23, 2020 5:00
PM 8/12/2020 3:49 PM

SfA7$ q,
•
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Washburn Real Estate, Inc.
NC Reference No.*
NCG01-2020-3489
Certificate of
NCC203489
Coverage (COC)
No. *
Invoice Date
8/12/2020
Initial Invoice No.
NCC203489-2020
Initial Fee
$ 100.00
Invoice Due Date
9/11/2020
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
8/13/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
530534199
Transaction
Number*
NOI Tracking No.
29768
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-RUTHE-2020-Washburn Real Estate, Inc.