NCC223938_NOI 114175 Payment Verification_20221123

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/22/2022 11:13:45 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/22/2022 11:23:30 AM (Review - NOI 114175 HM Squared Investments)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/22/2022 11:14 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 25, 2022 5:00
PM 11/22/2022 11:14 AM
by Workflow 11/22/2022 11:23:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/23/2022 11:18:39 AM (Payment Verification for NCC223938)
F Brett W Murphy
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/23/2022 11:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 3, 2023 5:00 PM
11 /22/2022 11:23 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
HM Squared Investments
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3938
Certificate of
NCC223938
Coverage (COC) No.*
Invoice Date
11/22/2022
Initial Invoice No.
NCC223938-2022
Initial Fee
$ 100.00
Invoice Due Date
12/22/2022
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
11/23/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
663746443
Transaction Number*
NOI Tracking No.
114175
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MACON-2022-HM Squared Investments