NCC211595_NOI 47791 Payment Verification_20210319

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/15/2021 9:50:38 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 3/16/2021 9:08:17 AM (Review- Construction NOI 47791)
• The task was assigned to Garcia, Lauren V by round robin distribution 3/15/2021 9:50 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 17, 2021 5:00
PM 3/15/2021 9:50 AM
Submit by Selkane, Aziza 3/19/2021 8:53:01 AM (Payment Verification for NCC211595)
* Stalls Medical, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 3/19/2021 8:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 27, 2021 5:00 PM
3/16/2021 9:08 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Stalls Medical Center
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-1595
Certificate of NCC211595
Coverage (COC)
No.*
Invoice Date 3/16/2021
Initial Invoice No. NCC211595-2021
Initial Fee $ 100.00
Invoice Due Date 4/15/2021
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.
f Payment NOT RECEIVED.
Payment Status PAID
Date Payment 3/19/2021
Received* (Or, if not received, date rejected for no payment)
Method of Payment* r electronic
r check
f Other
Check Number* 26857
NOI Tracking No. 47791
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-GUILF-2021-Stalls Medical Center