NCC221564_NOI 88667 Payment Verification_20220504

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/20/2022 3:06:23 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/21/2022 6:05:40 AM (Review - NOI 88667 Open Door Church)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/20/2022 3:06 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 25, 2022 5:00 PM
4/20/2022 3:06 PM
by Workflow 4/21/2022 6:05:45 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/4/2022 2:25:29 PM (Payment Verification for NCC221564)
F Open Door Baptist Church
• Selkane, Aziza assigned the task to Selkane, Aziza 5/4/2022 2:24 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 2, 2022 5:00 PM
4/21/2022 6:05 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Open Door Church
Lot Numbers
(If listed on the eNOI)
n/a
NC Reference No.*
NCG01-2022-1564
Certificate of
NCC221564
Coverage (COC) No.*
Invoice Date
4/21/2022
Initial Invoice No.
NCC221564-2022
Initial Fee
$ 100.00
Invoice Due Date
5/21/2022
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
5/4/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
8047
NOI Tracking No.
88667
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-BERTI-2022-Open Door Church