Manage Appliance Rebates (CSV ONLY) – 2024

Invoice #Company NameCompany ContactCompany PhoneCompany EmailRebate StatusSafety Inspection DatePurchase/Invoice DateSafety Inspector’s Full NameType of InstallationWere you affected by hurricane Helene?What county do you live in?How many rebates would you like to claim?Installation TypeRebate #1Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #2Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #3Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptTotal Exceeds $500TotalTotalPropane Company NamePropane Marketer NameMailing AddressEmail AddressPhone NumberCustomer / Recipient NameCustomer / Recipient Phone NumberCustomer / Recipient EmailNo Customer EmailCustomer / Recipient AddressCustomer / Recipient Installation AddressUpload Supporting DocumentsRequired MaterialsUpload Proof of Purchase:Name of Builder/ContractorUpload Spec Sheet for Manufactured Home
2024-54167337Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing04/18/202504/18/2025Brian BradleyNew ConstructionNo2Furnace or Gas Pack ($300.00)TempstarEAM4X60L2WA1EJ24271187704/18/2025img04252025_0016.pdfTankless Water Heater ($200.00)RinnaiRXP199SABA00379204/18/2025img04252025_00161.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$500.00500Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Garrison Sisson(706) 455-2573Email hidden; Javascript is required.70 Topeka Lane
Blue Ridge, Georgia 30513
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New Hope Rd
Morganton, Georgia 30560
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
N/A
2024-38505764Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing04/10/202504/10/2025Mathew rayReplacement or New ApplianceYesBrooks1Replacement InstallationTankless Water Heater ($400.00)rinnairsc199eprh.ba-10763104/10/20252025_250425155118_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 561-0792Iona brazas(714) 474-4881Email hidden; Javascript is required.8355 old madison rd
Valdosta, Georgia 31643
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8355 old madison rd
Valdosta, Georgia 31643
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2025_250425155118_0011.pdf
2024-15369468Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing04/23/202504/23/2025Mathew rayReplacement or New ApplianceYesLowndes2Replacement InstallationTankless Water Heater ($400.00)rinnairl75epc.ca-037336904/23/20252028_250428074907_001.pdfTankless Water Heater ($400.00)rinnairl75eppc.ca-03461004/23/20252028_250428074907_0011.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$800.00800Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
naylor, Georgia 31641
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Email hidden; Javascript is required.(229) 561-0792Premier southern(229) 263-1602Email hidden; Javascript is required.4 ramblewood dr
valdosta, Georgia 31602
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4 ramblewood dr
valdosta, Georgia 31602
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2028_250428074907_0012.pdf
2024-27918734Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Updated04/22/202504/22/2025Donald AlfordReplacement or New ApplianceYesLowndes1Replacement InstallationTankless Water Heater ($400.00)rinnairep160epk.ua-11344304/22/2025

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
naylor, Georgia 31641
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Email hidden; Javascript is required.(229) 561-0792JD Yeager(229) 740-0978Email hidden; Javascript is required.231 northside dr
valdosta, Georgia 31601
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231 northside dr
valdosta, Georgia 31601
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2032_250428084139_0011.pdf
2024-19140893Folger Gas, LLCJessica Dills(706) 367-8782Email hidden; Javascript is required.Processing04/22/202504/22/2025Mason NixNew ConstructionNo1Tankless Water Heater ($200.00)RinnaiRX199iSL.BA-19868604/22/2025paulschofieldrebateapp.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger Gas, LLCJessica Dills1950 Bill Wright Rd
Jefferson, Georgia 30549
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Email hidden; Javascript is required.(706) 367-8782Paul Schofield(706) 367-8782Email hidden; Javascript is required.1950 Bill Wright Rd
Jefferson, Georgia 30549
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1331 Bell Rd
Watkinsville, Georgia 30677
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Paul Schofield
2024-43775313Folger Gas, LLCJessica Dills(706) 367-8782Email hidden; Javascript is required.Processing04/21/202504/21/2025Owen DillsNew ConstructionNo1Furnace or Gas Pack ($300.00)GoodmanGR95801005CNDA241252524204/21/2025javierfigueorarebateapp.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$300.00300Folger Gas, LLCJessica Dills1950 Bill Wright Rd
Jefferson, Georgia 30549
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Email hidden; Javascript is required.(706) 367-8782Javier Figueora(706) 367-8782Email hidden; Javascript is required.1950 Bill Wright Rd
Jefferson, Georgia 30549
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233 Hunter Rd
Jefferson, Georgia 30549
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Javier Figueora
2024-98999009Conger LPDebora Simning(229) 776-7336Email hidden; Javascript is required.Processing03/28/202503/28/2025James SeaboltReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIRL75EPC.CA-03745503/28/2025IMG_0014.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Conger LPDebora Simning306 S Main St
Sylvester, Georgia 31791
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Email hidden; Javascript is required.(229) 776-7336ROBERT HOPKINS(229) 221-8621Email hidden; Javascript is required.205 Wolf Thick
Cordele, Georgia 31015
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205 Wolf Thick
Cordele, Georgia 31015
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2024-20169987Partners Propane of GABecky Windham(229) 937-5663Email hidden; Javascript is required.Processing04/22/202504/22/2025Luke OganReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE180EPTB.UA-01972604/22/2025POUGEO-INV-FOR-PERF-REBATE_0001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Partners Propane of GAJan WhitleyPO Box 5
Ellaville, Georgia 31806
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Email hidden; Javascript is required.(229) 937-5663George Poulos(630) 632-2687
  • I do not have a customer email
175 Broad ST
Ellaville, Georgia 31806
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175 Broad ST
Ellaville, Georgia 31806
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
POUGEO-INV-FOR-PERF-REBATE_00011.pdf
2024-12875906BATES GAS COMPANYCHRSITINE FOWLER(229) 436-5338Email hidden; Javascript is required.Processing04/24/202504/24/2025FLOYD BRANCHReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE160EPSK.UA-15299204/24/2025Scan2025-04-28_154222.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200BATES GAS COMPANYCHRSITINE FOWLER2703 SYLVESTER RD
ALBANY, Georgia 31705
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Email hidden; Javascript is required.(229) 436-5338RYAN EUBANKS(229) 869-7708
  • I do not have a customer email
689 WINIFRED
LEESBURG, Georgia 31763
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689 WINIFRED
LEESBURG, Georgia 31763
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Scan2025-04-28_1542221.pdf
2024-17750608Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing04/07/202504/07/2025Cole TruettReplacement or New ApplianceYesLowndes1Replacement InstallationTankless Water Heater ($400.00)rinnaiREP160EpPK.UA-11138204/07/20252066_250430153702_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 561-0792robert maynard(229) 561-0723Email hidden; Javascript is required.2005 tottanham dr
hahira
Hahira, Georgia 31632
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2005 tottanham dr
hahira
Hahira, Georgia 31632
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2066_250430153702_0011.pdf
2024-16942199Sikes Propane IncDaniel Sikes Jr(912) 367-1151Email hidden; Javascript is required.Incomplete04/22/202506/18/2024Daniel SikesNew ConstructionYesAppling2Tankless Water Heater ($400.00)RinnaiRE199eRC.UA-04778504/22/2025HPSCAN_20250430172019285_2025-04-30_172107543-compressed.pdfTankless Water Heater ($400.00)RinnaiRE180RE.UA-06257504/22/2025HPSCAN_20250430172019285_2025-04-30_172107543-compressed1.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$800.00800Sikes Propane IncDaniel Sikes2174 Hatch Parkway South
Baxley, Georgia 31513
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Email hidden; Javascript is required.(912) 367-1151Ken Heaton(703) 232-6314
  • I do not have a customer email
P.O. Box 396
unknown
Alma, Georgia 31510
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P.O. Box 396
unknown
Alma, Georgia 31510
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Eddie Lugo Construction LLC
2024-99514870Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing04/22/202504/22/2025Thomas DonnellyReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiREUNB2530FFUSSHNA14045004/22/2025img05022025_0016.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Thomas Donnelly(321) 693-7091Email hidden; Javascript is required.2800 Scenic Drive Suite 4-48
Blue Ridge, Georgia 30513
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890 Cutcane Rd
Mineral Bluff, Georgia 30559
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
img05022025_00161.pdf
2024-19709617Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing05/02/202505/02/2025Cole TruettReplacement or New ApplianceYesLowndes1New InstallationTankless Water Heater ($400.00)rinnaiRE160EPTC.UA-04246105/02/20252121_250506075639_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 469-4250JR Roberts(229) 482-7100Email hidden; Javascript is required.PO BOX 117
Lakeland, Georgia 31635
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PO BOX 117
Lakeland, Georgia 31635
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2121_250506075639_0011.pdf
2024-16367332Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing04/22/202504/22/2025Mark HooperReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)RinnaiREVNB3237FFUS5CBA06188604/22/2025img05062025_0010.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Loyd Howard(770) 301-0310Email hidden; Javascript is required.2 Grand Vista
Blue Ridge, Georgia 30513
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2 Grand Vista
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
img05062025_00101.pdf
2024-19427266Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing04/21/202504/21/2025Seth WeeksReplacement or New ApplianceYesThomas1Replacement InstallationTankless Water Heater ($400.00)rinnairsc199eprc.ba-06531104/21/20252122_250506090350_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Conger Lp gasMonty Hall2310 -B Hwy 84 West
2310- B hwy 84 west
Valdosta, Georgia 31601
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Email hidden; Javascript is required.(229) 469-4250Chad Palmer(706) 526-7885
  • I do not have a customer email
4561stewart rd
ocklocknee, Georgia 31773
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4561stewart rd
ocklocknee, Georgia 31773
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2122_250506090350_0011.pdf
2024-43569986Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing04/23/202504/23/2025Mark HooperReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)RINNAIREVNB3237FFSDBA06087604/23/2025img05062025_0011.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GaswStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Andres Aguirre(954) 439-4874Email hidden; Javascript is required.491 SW 168 Ave
Weston, Florida 33326
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307 Cohutta Overlook
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
img05062025_0012.pdf
2024-12525752Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing04/24/202504/24/2025Brian BradleyNew ConstructionNo1Tankless Water Heater ($200.00)RinnaiREUVC2528FFUDPHCA12686204/24/2025img05062025_0013.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Logan Fitts(706) 851-4486Email hidden; Javascript is required.588 East Main Street
Blue Ridge, Georgia 30513
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545 Chestnut Gap Rd
Blue Ridge, Georgia 30513
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
n/a
2024-47226466Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing04/30/202504/30/2025Alex CashNew ConstructionNo2Furnace or Gas Pack ($300.00)TraneN92MSN0601714AA25036237504/30/2025img05062025_0014.pdfFurnace or Gas Pack ($300.00)TRANEN92MSN0801716AA24456230804/30/2025img05062025_00141.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$600.00600Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Kenneth Noel(512) 745-4940Email hidden; Javascript is required.321 Melody Lane NE
Carterville, Georgia 30121
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54 Oakwood Ln
Ellijay, Georgia 30536
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
n/a
2024-11567808Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing04/29/202504/29/2025Brian BradleyNew ConstructionNo1Tankless Water Heater ($200.00)RinnaiRL75IPFCA08727604/29/2025img05062025_0015.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Charlotte Randal DBA Habitat for Humanity(706) 897-4276Email hidden; Javascript is required.225 Wellborn Street
Blairsville, Georgia 30512
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754 Chapman Ford Rd
Blairsville, Georgia 30512
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
n/a
2024-86655526Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Processing05/02/202505/02/2025Alvin WilcoxNew ConstructionNo1Tankless Water Heater ($200.00)NavianNPE2405220892246191927205/02/2025img05062025_0016.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Cheryl Suttor(716) 536-1281Email hidden; Javascript is required.1333 Lickskillet Cir
Epworth, Georgia 30541
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1333 Lickskillet Cir
Epworth, Georgia 30541
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
n/a
2024-15100132Partners Propane of Ga IncKim Ogan(229) 649-4040Email hidden; Javascript is required.Processing04/28/202504/25/2025LUKE OGANReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE180EPTBUA01972104/28/2025Frank-Bair_0001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200PARTNERS PROPANE OF GAJAN WHITLEYPO BOX 199
206 W 6TH AVE
BUENA VISTA, Georgia 31803
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Email hidden; Javascript is required.(229) 649-4040FRANK BAIR(937) 308-6940
  • I do not have a customer email
518 FRANK POWELL RD
BUENA VISTA, Georgia 31803
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518 FRANK POWELL RD
BUENA VISTA, Georgia 31803
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Frank-Bair_00011.pdf
2024-20919738Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Processing04/24/202504/24/2025Dewayne BruceReplacement or New ApplianceYesColquitt1ConversionTankless Water Heater ($400.00)RinnaiRL75EPPC.CA-04206504/24/20251807_250507093752_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Conger LP Gas MoultrieKyle Johnson3117 veterans parkway s
Moultrie, Georgia 31768
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Email hidden; Javascript is required.(229) 985-6942Kyle Johnson(229) 921-2107Email hidden; Javascript is required.841 John Vickers rd
Norman Park, Georgia 31771
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841 John Vickers rd
Norman Park, Georgia 31771
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
1807_250507093752_0011.pdf
2024-85327915Sikes Propane IncDaniel Sikes Jr(912) 367-1151Email hidden; Javascript is required.Processing04/16/202504/16/2025Daniel SikesReplacement or New ApplianceYesAppling1New InstallationTankless Water Heater ($400.00)RinnaiRE199eSM.UA-17746804/16/2025HPSCAN_20250507131535449_2025-05-07_131622922-compressed.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400SIKES PROPANE INCDANIEL SIKES2174 HATCH PARKWAY SOUTH
BAXLEY, Georgia 31513
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Email hidden; Javascript is required.(912) 367-1151Kevin Gillard(912) 309-2198
  • I do not have a customer email
765 Sugarbrook Rd.
Broxton, Georgia 31519
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765 Sugarbrook Rd.
Broxton, Georgia 31519
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
HPSCAN_20250507131535449_2025-05-07_131622922-compressed1.pdf
2024-19777807Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Processing05/01/202505/01/2025Dewayne BruceReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiRE199EPPL.UA-12171205/01/20251808_250507105233_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$200.00200Conger LP Gas MoultrieKyle Johnson3117 veterans parkway s
Moultrie, Georgia 31768
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Email hidden; Javascript is required.(229) 985-6942Kameron Robinson(229) 921-1537Email hidden; Javascript is required.13 Quiet Love
Moultrie, Georgia 31768
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13 Quiet Love
Moultrie, Georgia 31768
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
1808_250507105233_0011.pdf
2024-74296263Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Processing05/07/202505/07/2025Dewayne BruceReplacement or New ApplianceYesAppling1Replacement InstallationTankless Water Heater ($400.00)RinnaiRL75EPPC.CA-04293505/07/20251809_250507112814_001.pdf

The maximum allowed per household is $500, please remove a rebate to continue.

$400.00400Conger LP Gas MoultrieKyle Johnson3117 veterans parkway s
Moultrie, Georgia 31768
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Email hidden; Javascript is required.(229) 985-6942Sanjuana Rosales(229) 319-4897Email hidden; Javascript is required.281 Edwards St
Moultrie, Georgia 31768
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108 Ga 33
Moultrie, Georgia 31768
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
1809_250507112814_0011.pdf
Invoice #Company NameCompany ContactCompany PhoneCompany EmailRebate StatusSafety Inspection DatePurchase/Invoice DateSafety Inspector’s Full NameType of InstallationWere you affected by hurricane Helene?What county do you live in?How many rebates would you like to claim?Installation TypeRebate #1Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #2Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptRebate #3Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptTotal Exceeds $500TotalTotalPropane Company NamePropane Marketer NameMailing AddressEmail AddressPhone NumberCustomer / Recipient NameCustomer / Recipient Phone NumberCustomer / Recipient EmailNo Customer EmailCustomer / Recipient AddressCustomer / Recipient Installation AddressUpload Supporting DocumentsRequired MaterialsUpload Proof of Purchase:Name of Builder/ContractorUpload Spec Sheet for Manufactured Home