NCC215936_NOI 69678 Payment Verification_20211115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/25/2021 11:21:07 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/25/2021 11:27:58 AM (Review - Construction NOI 69678)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/25/2021 11:21 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 27, 2021 5:00
PM 10/25/2021 11:21 AM
Submit by Evans, Shaundra M 11/15/2021 8:15:38 AM (Payment Verification for NCC215936)
F Daniel Coith
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/15/2021 8:15 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 6, 2021 5:00 PM
10/25/2021 11:28 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
3441 South Apartments
Lot Numbers
(If listed on the eNOI)
14905303,14905302, 14905301, 14905305, 14905306, 14905315, 14905314
NC Reference No.*
NCG01-2021-5936
Certificate of
NCC215936
Coverage (COC) No.*
Invoice Date
10/25/2021
Initial Invoice No.
NCC215936-2021
Initial Fee
$ 100.00
Invoice Due Date
11/24/2021
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*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
11/15/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
602848804
Transaction Number*
NOI Tracking No.
69678
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2021-3441 South Apartments