NCC223439_NOI 108323 Payment Verification_20221007

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/3/2022 10:04:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/3/2022 10:08:32 AM (Review - NOI 108323 October Glory Section 2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/3/2022 10:04 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 6, 2022 5:00 PM
10/3/2022 10:04 AM
by Workflow 10/3/2022 10:08:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/7/2022 9:55:40 AM (Payment Verification for NCC223439)
F Malpass & Associates
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/7/2022 9:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 14, 2022 5:00
PM 10/3/2022 10:08 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
October Glory Section 2
Lot Numbers
(If listed on the eNOI)
10,11,20-49
NC Reference No.*
NCG01-2022-3439
Certificate of
NCC223439
Coverage (COC) No.*
Invoice Date
10/3/2022
Initial Invoice No.
NCC223439-2022
Initial Fee
$ 100.00
Invoice Due Date
11/2/2022
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
10/7/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
11068
NOI Tracking No.
108323
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-PITT-2022-October Glory Section 2