NCC230081_NOI 122161 Payment Verification_20230112

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/10/2023 2:48:28 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/11/2023 6:36:12 AM (Review - NOI 122161 Pizza Hut)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/10/2023 2:48 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 13, 2023 5:00
PM. The priority is: High 1/10/2023 2:48 PM
by Workflow 1/11/2023 6:36:23 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/12/2023 9:42:18 AM (Payment Verification for NCC230081)
* SIDS Restaurant Group LLC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/12/2023 9:41 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 22, 2023 5:00 PM.
The priority is: High 1/11/2023 6:36 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Pizza Hut
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2023-0081
Certificate of
NCC230081
Coverage (COC) No.*
Invoice Date
1/11/2023
Initial Invoice No.
NCC230081-2023
Initial Fee
$ 100.00
Invoice Due Date
2/10/2023
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
1/12/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
671201889
Transaction Number*
NOI Tracking No.
122161
Tracking ID referenced upon submittal
This is an Express
No
Review Project
• Yes
Project Tracking ID
NCC-HALIF-2023-Pizza Hut