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
2024-17658275Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete10/29/202410/29/2024Alex CashNew ConstructionNo1Furnace or Gas Pack ($300.00)International ComfortPGD430060KTP0H1F22014853110/29/2024

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

$300.00300Folger GasStacy Mullinax4955 Appalachian Highway
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Chris Rapp(954) 548-1580Email hidden; Javascript is required.875 Old Mill Rd
Mineral Buff, Georgia 30559
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1000 NW 65th St Ste #100
Fort Lauderdale, Florida 33309
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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
2024-16172784Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Payment Sent11/08/202411/08/2024Alvin WilcoxNew ConstructionNo1Tankless Water Heater ($200.00)RinnaiREU-VC258FFUD-USPD.CA-06730211/08/2024

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) 632-7606Dale Leatherman(772) 633-2424Email hidden; Javascript is required.411 Bushy Head Rd
Cherry Log, Georgia 30522
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545 47th Ave
Cherry Log, Georgia 30522
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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
2024-19684029Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/12/202411/12/2024James CochranNew ConstructionNo2Furnace or Gas Pack ($300.00)TempstarR92MSN0601714AA24045936611/12/2024Tankless Water Heater ($200.00)RinniaREU-NBP3237FFSA.BA-00374011/12/2024

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

$500.00500Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Marc Nicholson(706) 455-1078Email hidden; Javascript is required.Green Ridge Trail Lot #20
Blue Ridge, Georgia 30513
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274 Hunters Ridge
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)
Marc Nicholson
2024-15792958Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/15/202411/15/2024James CochranNew ConstructionNo2Furnace or Gas Pack ($300.00)BryantMP4821AL4423J0475411/15/2024Tankless Water Heater ($200.00)NavianNPE240522089Z24522FM6811/15/2024

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

$500.00500Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Laurie Posey(239) 889-8879Email hidden; Javascript is required.532 Turkey Trot Rd
Morganton, Georgia 30560
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2835 SW 24th Ave
Cape Coral, Florida 33914
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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
2024-13641317Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/18/202411/18/2024Brian BradleyNew ConstructionNo1Tankless Water Heater ($200.00)NavienNPE-240A22087W246030955311/18/2024

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

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Andrew Carretto(770) 878-7433Email hidden; Javascript is required.5664 Mobile Rd
Blue Ridge, Georgia 30513
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100 Brannon Ct
Canton, Georgia 30115
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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
2024-12640348Folger Gas, LLCJessica Dills(706) 367-8782Email hidden; Javascript is required.Payment Sent11/27/202411/27/2024Kevin SmootReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RinnaiRL75iPREU-VC2528FFUD-US (A)-P11/27/2024alexlittlerebateform.pdf

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

$200.00200Folger Gas LLCJessica Dills1950 Bill Wright Rd
Jefferson, Georgia 305459
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Email hidden; Javascript is required.(706) 367-8782Alex Little(678) 858-1673Email hidden; Javascript is required.3815 Cedar Creek Rd
Gainesville, Georgia 30507
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3815 Cedar Creek Rd
Gainesville, Georgia 30507
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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)
alexlittlerebateform1.pdf
2024-13146384Superior Plus PropaneMelanie Burke(864) 582-5475Email hidden; Javascript is required.Processing11/06/202411/05/2024Bruce ReeceReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RinnaiRL75iPPH. CA-12406211/06/2024

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

$200.00200Superior Plus Propane/Freeman GasFreeman Gas5500 Ball Ground Hwy
Ballground, Georgia 30107
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Email hidden; Javascript is required.(770) 720-1378Susan Griffin(770) 324-1172
  • I do not have a customer email
P.O Box 243
Fairmount, Georgia 30139
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2874 Highway 411 SE
Fairmount, Georgia 30139
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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)
GRIFFIN-APPLIANCE-SALE.pdf
2024-13624570Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/26/202411/26/2024James CochranReplacement or New ApplianceNo1ConversionTankless Water Heater ($200.00)NavianNPE-240522089H246188993911/26/2024

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

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Maria Wieters(423) 362-3291Email hidden; Javascript is required.5848 Rock Creek Rd
CHerry Log, Georgia 30522
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PO Box 8540
Stockton, California 95208
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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)
2024-20365059Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete11/25/202411/22/2024Alvin WilcoxReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiREU-NBP3237FF-USRL.BA-12419911/25/2024

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

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Kevin McCarthy(404) 444-2357Email hidden; Javascript is required.630 Magnolia Dr
Blue Ridge, Georgia 30513
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1323 Azalee Hester Wharton Way
Atlanta, Georgia 30318
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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)
2024-51176000Folger Gas, LLCJessica Dills(706) 367-8782Email hidden; Javascript is required.Payment Sent11/29/202411/29/2024Owen DillsReplacement or New ApplianceNo2New InstallationFurnace or Gas Pack ($300.00)GoodmanCAPTA362XB3AA241010109011/29/2024mikhailbilyyrebate.pdfTankless Water Heater ($200.00)NavianNPE-240522089E247196986311/29/2024mikhailbilyyrebate1.pdf

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

$500.00500Folger Gas, LLCJessica Dills1950 Bill Wright Rd
Jefferson, Georgia 30549
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Email hidden; Javascript is required.(706) 367-8782Mikhail Bilyy(404) 395-9762Email hidden; Javascript is required.259 Wages Rd
Auburn, Georgia 30011
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259 Wages Rd
Auburn, Georgia 30011
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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)
mikhailbilyyrebate2.pdf
2024-38877955Webb Brothers Propane, IncKristy Gamble(229) 382-0789Email hidden; Javascript is required.Payment Sent12/02/202412/02/2024ROBERT COTHRENReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE180EPSB.UA-01331212/02/2024HASKING-INVOICE.pdf

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

$200.00200Webb Brothers Propane, IncKristy GamblePO Drawer 7269
3615 Hwy 82 W
Tifton, Georgia 31793
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Email hidden; Javascript is required.(229) 382-0789SCOTT HASKINS(229) 392-1844
  • I do not have a customer email
517 BRIGHTON RD
TIFTON, Georgia 31794
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517 BRIGHTON RD
TIFTON, Georgia 31794
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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)
HASKING-INVOICE1.pdf
2024-18524601BATES GAS COMPANYCHRSITINE FOWLER(229) 436-5338Email hidden; Javascript is required.Payment Sent11/26/202411/26/2024FLOYD BRANCHReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75I[ME.CA-02857511/26/2024BYARS.REBATE.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) 436-5338CECILY BYARS(229) 439-2920
  • I do not have a customer email
3208 WEXFORD DR
ALBANY, Georgia 31721
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3208 WEXFORD DR
ALBANY, Georgia 31721
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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)
BYARS.REBATE1.pdf
2024-16670037Folger GasStacy Mullinax(706) 632-7606Email hidden; Javascript is required.Incomplete12/02/202412/02/2024Alvin WilcoxNew ConstructionNo1Tankless Water Heater ($200.00)NavienNPE-210s22084326258960612/02/2024

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

$200.00200Folger GasStacy Mullinax4955 Appalachian Hwy
Blue Ridge, Georgia 30513
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Email hidden; Javascript is required.(706) 632-7606Logan Fitts(706) 851-4486Email hidden; Javascript is required.Bell Camp Ridge
Blue Ridge, Georgia 30513
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Bell Camp Ridge
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
2024-54319718Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/22/202411/22/2024ROYCE HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRX199IN/PSG.BA-10628711/22/2024HARRIS.pdf

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

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116JOHN & AMANDA HARRIS(910) 376-0415Email hidden; Javascript is required.129 BRIGHTWATER DR
LEESBURG, Georgia 31763
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129 BRIGHTWATER DR
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)
HARRIS1.pdf
2024-10627066Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/22/202411/22/2024ROYCE HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRX199IN/PSF.BA-09199011/22/2024STEINER.pdf

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

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116TRACY STEINER(314) 303-8054Email hidden; Javascript is required.704 RIVER CHASE LANE
ALBANY, Georgia 31701
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704 RIVER CHASE LANE
ALBANY, Georgia 31701
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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)
STEINER1.pdf
2024-18076896Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/20/202411/20/2024MIKE BURLESONReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75EPPD.CA-06784411/20/2024SHAW.pdf

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

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116CHRIS & LISA SHAW(229) 395-0072Email hidden; Javascript is required.551 N. CEDAR CREEK
CORDELE, Georgia 31015
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551 N. CEDAR CREEK
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)
SHAW1.pdf
2024-21263449Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/20/202411/20/2024MIKE BURLESONReplacement or New ApplianceNo2Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75EPPC.CA-04316611/20/2024DWYER.pdfTankless Water Heater ($200.00)RINNAIRL75EPPD.CA-06773811/20/2024DWYER1.pdf

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

$400.00400MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116TIM DWYER(407) 466-6291Email hidden; Javascript is required.287 HUNTINGTON ROAD
AMERICUS, Georgia 3109
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941 WEST MORSE BLVD SUITE 200
WINTER PARK, Florida 32789
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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)
DWYER2.pdf
2024-12889256Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Payment Sent11/18/202411/18/2024ROYCE HUNTERNew ConstructionNo1Tankless Water Heater ($200.00)RINNAIRL94IPPC.CA-05357011/18/2024LAMON-CO-875233.pdf

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

$200.00200MODERN GAS COMPANYMARK HOLLOWAY1335 US HWY 82 EST
LEESBURG, Georgia 31763
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Email hidden; Javascript is required.(229) 435-6116LAMON COMPANY(229) 288-4276
  • I do not have a customer email
173 OLD HICKORY DR
LEESBURG, Georgia 31763
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173 OLD HICKORY DR
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)
LAMON COMPANY
2024-57966205Sikes Propane IncDaniel Sikes Jr(912) 367-1151Email hidden; Javascript is required.Payment Sent11/06/202411/06/2024DANIEL SIKESNew ConstructionYesAppling2Tankless Water Heater ($400.00)RINNAIRE160ePJ.UA-08746211/06/2024HPSCAN_20241206195033801_2024-12-06_195122157.pdfTankless Water Heater ($400.00)RinnaiRE180eRL.UA-15160711/06/2024HPSCAN_20241206195033801_2024-12-06_1951221571.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) 367-1151Brooks Adcock(912) 850-9299
  • I do not have a customer email
3634 Danny Kirkland Rd.
Nicholls, Georgia 31554
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3634 Danny Kirkland Rd.
Nicholls, Georgia 31554
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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
2024-17660640Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Payment Sent11/11/202411/09/2024Jonathan MauldinReplacement or New ApplianceYesToombs1New InstallationTankless Water Heater ($400.00)RinnaiRX199EPSC.BA-04507211/09/2024KUSHER2.pdf

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

$400.00400Conger LP GASchristina Duncan604 North Broadfoot Blvd
Vidalia, Georgia 30474
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Email hidden; Javascript is required.(912) 537-8722Kaye Usher(912) 293-3105Email hidden; Javascript is required.4551 HWY 178
Lyons, Georgia 30436
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4551 HWY 178
Lyons, Georgia 30436
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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)
KUSHER21.pdf
2024-14771765Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Payment Sent11/26/202411/26/2024Jonathan MauldinReplacement or New ApplianceYesToombs1New InstallationTankless Water Heater ($400.00)RinnaiRL75EPPC.CA-03639711/26/2024PHILLIPS.pdf

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

$400.00400Conger LP GASchristina Duncan604 North Broadfoot Blvd
Vidalia, Georgia 30474
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Email hidden; Javascript is required.(912) 537-8722Joe Phillips(912) 209-1093Email hidden; Javascript is required.270 N Thompson Church Rd
Vidalia, Georgia 30474
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270 N Thompson Church Rd
Vidalia, Georgia 30474
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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)
PHILLIPS1.pdf
2024-16065109Partners Propane of GABecky Windham(229) 937-5663Email hidden; Javascript is required.Payment Sent11/27/202411/27/2024Luke OganReplacement or New ApplianceNo1Replacement InstallationStorage-Type Water Heater ($200.00)RHEEMPROG40S-31PQ01232421411/27/2024Perf-Rebate-James-Robertson_0001.pdf

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

$200.00200Partners Propane of Georgia - EllavilleJan WhitleyPO Box 5
5 E Oglethorpe ST
Ellaville, Georgia 31806
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Email hidden; Javascript is required.(229) 937-5663James Robertson(229) 389-9331
  • I do not have a customer email
229 Northside Dr
Ellaville, Georgia 31806
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229 Northside Dr
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)
Perf-Rebate-James-Robertson_00011.pdf
2024-26171729FREEMAN GASDANA WRIGHT(706) 889-1365Email hidden; Javascript is required.Updated11/18/202411/11/2024MICHAEL SAPPReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRX199INSCBA03932011/18/2024

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

$200.00200FREEMAN GASMARTY PANKEY200 OLD HWY 5 S
ELLIJAY, Georgia 30540
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Email hidden; Javascript is required.(706) 889-1365MONICA RINKEVICH(404) 664-3261Email hidden; Javascript is required.P O BOX 55370
ATLANTA, Georgia 30308
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70 ROCK CREEK CT
CHERRY LOG, Georgia 30522
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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)
RECEIPT-RINKEVICH-_0011751.pdf
2024-25455054Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Payment Sent12/11/202412/11/2024Jonathan MauldinReplacement or New ApplianceYesToombs1New InstallationTankless Water Heater ($400.00)RinnaiRE180epPL.UA-12894212/11/2024FONTAINE.pdf

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

$400.00400Conger LP GASchristina Duncan604 North Broadfoot Blvd
Vidalia, Georgia 30474
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Email hidden; Javascript is required.(912) 537-8722Adam Fontaine(251) 607-8977
  • I do not have a customer email
1500 Meadows Lane
Vidalia, Georgia 30474
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1500 Meadows Lane
Vidalia, Georgia 30474
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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)
FONTAINE1.pdf
2024-19665869Conger LPDebora Simning(229) 776-7336Email hidden; Javascript is required.Payment Sent12/10/202412/10/2024JAMIE SeaboltReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75PC.CA-03660912/10/2024

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) 776-7336TONI GREGORY(404) 226-0963Email hidden; Javascript is required.16920 Ga Hwy 27
Vienna, Georgia 31092
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16920 Ga Hwy 27
Vienna, Georgia 31092
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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)
GREGORY_0004.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