NCC223992_NOI 115721 Payment Verification_20221206

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/30/2022 11:41:35 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/30/2022 11:47:30 AM (Review - NOI 115721 Simatec Inc)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/30/2022 11:42 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 5, 2022 5:00
PM 11/30/2022 11:42 AM
by Workflow 11/30/2022 11:47:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/6/2022 12:09:16 PM (Payment Verification for NCC223992)
F Simatec Inc.
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/6/2022 12:08 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 11, 2023 5:00 PM
11 /30/2022 11:47 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Simatec Inc
Lot Numbers
(If listed on the eNOI)
20320208
NC Reference No.*
NCG01-2022-3992
Certificate of
NCC223992
Coverage (COC) No.*
Invoice Date
11/30/2022
Initial Invoice No.
NCC223992-2022
Initial Fee
$ 100.00
Invoice Due Date
12/30/2022
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
12/6/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
8134
NOI Tracking No.
115721
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Simatec Inc