NCC223911_NOI 113796 Payment Verification_20221128

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/20/2022 1:45:37 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/21/2022 8:45:39 AM (Review - NOI 113796 Gene Court)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/20/2022 1:47 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 24, 2022 5:00
PM 11/20/2022 1:47 PM
by Workflow 11/21/2022 8:45:48 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/28/2022 8:37:17 AM (Payment Verification for NCC223911)
F Michael Mitchem
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/28/2022 8:36 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 2, 2023 5:00 PM
11/21/2022 8:45 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Gene Court
Lot Numbers
(If listed on the eNOI)
1,2,3,4,5,6,7,8,9,10,11,12
NC Reference No.*
NCG01-2022-3911
Certificate of
NCC223911
Coverage (COC) No.*
Invoice Date
11/21/2022
Initial Invoice No.
NCC223911-2022
Initial Fee
$ 100.00
Invoice Due Date
12/21/2022
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
11/28/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
664230533
Transaction Number*
NOI Tracking No.
113796
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CABAR-2023-Gene Court