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
2024-14458649Conger LPDebora Simning(229) 776-7336Email hidden; Javascript is required.Processing01/14/202501/14/2025James SeaboltReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RinnaiRL75EPC.CA-03747701/14/2025

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) 776-7336MCDONALD CONSTRUCTION INC(229) 881-9477Email hidden; Javascript is required.CHAD MCDONALD
119 ELLI DR
SYLVESTER, Georgia 31791
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MICHAEL SPHINKS
241 COTTLE RD
TY TY, Georgia 31795
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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)
IMG_00072.pdf
2024-12391936Webb Brothers Propane, IncKristy Gamble(229) 382-0789Email hidden; Javascript is required.Processing01/25/202501/25/2025ROBERT COTHRENReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIRE199EPRC.UA-03872501/25/2025HARTSFIELD-INVOICE.pdf

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

$200.00200WEBB BROTHERS PROPANEMICHAEL WEBB3615 HWY 82 W
TIFTON, Georgia 31793
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Email hidden; Javascript is required.(229) 382-0789CHUCK HARTSFIELD(229) 454-0441
  • I do not have a customer email
4770 GA HWY 111
HARTSFIELD, Georgia 31756
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4770 GA HWY 111
HARTSFIELD, Georgia 31756
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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)
HARTSFIELD-INVOICE1.pdf
2024-58140729Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Processing01/10/202501/08/2025Brian PriceReplacement or New ApplianceYesColquitt1ConversionTankless Water Heater ($400.00)RinnaiRL75epPD.CA-06993001/10/20251180_250127124458_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) 985-6942Erving Moses(229) 985-4828Email hidden; Javascript is required.305 will rd
Moultrie, Georgia 31768
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305 will rd
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)
1180_250127124458_0011.pdf
2024-19425359Conger LP GASchristina Duncan(912) 537-8722Email hidden; Javascript is required.Processing01/23/202501/23/2025Shane DuncanReplacement or New ApplianceYesTattnall1New InstallationTankless Water Heater ($400.00)RinnaiRL75EPPC.CA-04522701/23/2025MCDONALD-.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) 537-8722Judy McDonald(912) 245-1617Email hidden; Javascript is required.27409 Ga Hwy 23
Collins, Georgia 30421
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27409 Ga Hwy 23
Collins, Georgia 30421
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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)
MCDONALD-1.pdf
2024-83568101Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Processing01/02/202501/02/2025BRIAN PriceReplacement or New ApplianceYesThomas1ConversionTankless Water Heater ($400.00)RINNAIRX160INRL.BA-13188601/02/20251198_250129102954_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) 985-6942GLENN GOLDEN(229) 672-1783Email hidden; Javascript is required.282 lilliquin dr
Thomasville, Georgia 31757
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282 lilliquin dr
Thomasville, Georgia 31757
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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)
1198_250129102954_0011.pdf
2024-12598533Conger LP GasKAYLEA SMITH(229) 469-4250Email hidden; Javascript is required.Processing01/02/202501/02/2025Matthew RayReplacement or New ApplianceYesLowndes1New InstallationTankless Water Heater ($400.00)RinnaiRL75ePPC.CA-04512601/02/2025JSpilznogleGPC.pdf

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

$400.00400Conger LP GasKAYLEA SMITH2310 HWY 84 W SUITE B
VALDOSTA, Georgia 31601
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Email hidden; Javascript is required.(229) 469-4250JAYNE SPILZNOGLE(229) 630-2712Email hidden; Javascript is required.2669 J FRANK CULPEPPER RD
LAKE PARK, Georgia 31636
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2669 J FRANK CULPEPPER RD
LAKE PARK, Georgia 31636
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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)
JSpilznogleGPC1.pdf
2024-38257139Conger LPDebora Simning(229) 776-7336Email hidden; Javascript is required.Processing01/24/202501/24/2025Jamie SeaboltReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RinnaiRL75ePC.CA03756701/24/2025

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) 776-7336Jamie Young(229) 266-6439Email hidden; Javascript is required.2597 Sumner Rd
Sumner, Georgia 31789
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2597 Sumner Rd
Sumner, Georgia 31789
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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)
IMG_00093.pdf
2024-31100731Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Processing01/13/202501/13/2025BRIAN PriceReplacement or New ApplianceYesColquitt1New InstallationTankless Water Heater ($400.00)RinnaiRl75EpP.D-CA-06992501/13/20251218_250130110848_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) 985-6942Ambry McDowell(229) 529-9246Email hidden; Javascript is required.2415 thigpen trail
Hartsfield, Georgia 31756
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2415 thigpen trail
Hartsfield, Georgia 31756
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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)
1218_250130110848_0011.pdf
2024-10647238PARTNERS PROPANE OF GA INC.AMANDA ALBRITTON(478) 862-4644Email hidden; Javascript is required.Processing01/30/202501/30/2025Brandon RustinReplacement or New ApplianceNo1Replacement InstallationStorage-Type Water Heater ($200.00)RheemProg40-32prh62024241948501/30/2025

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

$200.00200PARTNERS PROPANE OF GA INCAMANDA ALBRITTONPO BOX 277
Butler, Georgia 31006
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Email hidden; Javascript is required.(478) 862-4644JANICE TUCKER(229) 649-9212
  • I do not have a customer email
928 MAUK RD
MAUK, Georgia 31058
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928 MAUK RD
MAUK, Georgia 31058
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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)
tucker1_00011.pdf
2024-13134404Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/08/202501/08/2025RICKY HARRELLReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRL75EPPC.CA-04633701/08/2025STEWART.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 STEWART(229) 881-2214
  • I do not have a customer email
106 LONGLEAF DR
LEESBURG, Georgia 31763
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106 LONGLEAF 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)
STEWART1.pdf
2024-21275500Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/04/202501/04/2025CURTIS HUNTERReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIRX160IN/PSE.BA-07551601/04/2025LEWIS.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) 435-6116JASON LEWIS(229) 288-3003
  • I do not have a customer email
5423 MT. ZION CHURCH RD
CAMILLA, Georgia 31730
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5423 MT. ZION CHURCH RD
CAMILLA, Georgia 31730
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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)
LEWIS1.pdf
2024-12850187Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/03/202501/03/2025MIKE BURLESONReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRX180IN/PSG.BA-10912801/03/2025BERNARDONI.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) 435-6116JOSEPH BERNARDONI(229) 894-0084
  • I do not have a customer email
124 ORCHARD HILL DR
ALBANY, Georgia 31701
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124 ORCHARD HILL DR
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)
BERNARDONI1.pdf
2024-14874379Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/18/202501/18/2025CARL REINHEIMERReplacement or New ApplianceNo1Replacement InstallationStorage-Type Water Heater ($200.00)RHEMPROG50-36P RH60Q36243414001/18/2025REINHEIMER.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) 435-6116CARL REINHEIMER(229) 344-6686
  • I do not have a customer email
129 LARKSPUR DR
ALBANY, Georgia 31721
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129 LARKSPUR 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)
REINHEIMER1.pdf
2024-14145850Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/11/202501/11/2025MIKE BURLESONReplacement or New ApplianceNo1Replacement InstallationStorage-Type Water Heater ($200.00)BRADFORD WHITERG250T6XAJ5405514801/11/2025BRADFORD.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) 435-6116TAMIKO BRADFORD(229) 291-9734
  • I do not have a customer email
2228-A OLD DOMINION
ALBANY, Georgia 31721
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2228-A OLD DOMINION
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)
BRADFORD1.pdf
2024-26358916Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/13/202501/13/2025CURTIS HUNTERNew ConstructionNo1Tankless Water Heater ($200.00)RINNAIRL75IPNE.CA-05705401/13/2025SINGLETARY.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) 435-6116SINGLETARY CONSTRUCTION(229) 435-5425
  • I do not have a customer email
205 THISTLEDOWN DR
LEESBURG, Georgia 31763
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205 THISTLEDOWN 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)
SINGLETARY CONSTRUCTIOIN
2024-11024680Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/10/202501/10/2025ROYCE HUNTERNew ConstructionNo1Tankless Water Heater ($200.00)RINNAIRL75IPNK.CA-13415801/10/2025DOUBLEGATE-H-OMES.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) 435-6116DOUBLEGATE HOMES(229) 376-2624
  • I do not have a customer email
219 THISTLEDOWN
LEESBURG, Georgia 31763
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219 THISTLEDOWN
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)
DOUBLEGATE HOMES
2024-13131355Conger LP gas MoultrieKyle Johnson(229) 985-6942Email hidden; Javascript is required.Processing01/29/202501/28/2025Dewayne BruceReplacement or New ApplianceYesColquitt1Replacement InstallationTankless Water Heater ($400.00)RinnaiRL75EPPD.CA-07016201/29/20251219_250130124028_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) 985-6942Josh Thompson(229) 985-6942
  • I do not have a customer email
1571 D.H. Alderman Rd
Moultrie, Georgia 31788
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1571 D.H. Alderman Rd
Moultrie, Georgia 31788
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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)
1219_250130124028_0011.pdf
2024-99079289Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/18/202501/18/2025MIKE BURLESONReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIRE160EPSA.UA-00140501/18/2025LONG.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) 435-6116KEITH & SUZANNE LONG(229) 886-2302
  • I do not have a customer email
922 PLEASANT HILL ROAD
BRONWOOD, Georgia 39826
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922 PLEASANT HILL ROAD
BRONWOOD, Georgia 39826
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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)
LONG1.pdf
2024-13052990Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/04/202501/04/2025MIKE BURLESONReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRX180IN/PRM.BA-143131601/04/2025DAUGHTRY.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) 435-6116ERIC & DEBBIE DAUGHTRY(229) 759-0404
  • I do not have a customer email
117 SEAHOY DR
LEESBURG, Georgia 31763
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117 SEAHOY 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)
DAUGHTRY1.pdf
2024-81498468Conger LP GasLee Phillips(229) 386-5574Email hidden; Javascript is required.Processing12/30/202412/30/2024Sugar and SpiceReplacement or New ApplianceYesAppling1Replacement InstallationTankless Water Heater ($400.00)RinnaiRL75ePPD.CA-06980512/30/20241638_001.pdf

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

$400.00400Conger LP GasLee MathewsPO Box 7644
Tifton, Georgia 31793
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Email hidden; Javascript is required.(229) 386-5574Sugar and Spice(229) 985-7842Email hidden; Javascript is required.1895 Hwy 37 East
Moultrie, Georgia 31788
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1895 Hwy 37 East
Moultrie, Georgia 31788
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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)
1638_0011.pdf
2024-14141613Conger LP GasLee Phillips(229) 386-5574Email hidden; Javascript is required.Processing12/30/202412/30/2024Dewayne BruceReplacement or New ApplianceYesColquitt1New InstallationTankless Water Heater ($400.00)RinnaiRL75ePPD.CA-06992712/30/20241639_001.pdf

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

$400.00400Congewr LP GasLee MathewsPO Box7466
Tifton, Georgia 31793
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Email hidden; Javascript is required.(229) 386-5574Warrior Creek Deer Processing(229) 921-0458Email hidden; Javascript is required.1032 JR Suber Rd.
Norman Park, Georgia 31771
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1032 JR Suber 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)
1639_0011.pdf
2024-94312406Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/18/202501/18/2025CURTIS HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRE160EPSB.UA-02033001/18/2025mcdaniel.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) 435-6116CLAY MCDANIEL(229) 224-6804
  • I do not have a customer email
1960 PATMOS RD
LEARY, Georgia 39862
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1960 PATMOS RD
LEARY, Georgia 39862
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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)
mcdaniel1.pdf
2024-31889694Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/28/202501/28/2025CURTIS HUNTERReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIRX199IN/PSH.BA-13789501/28/2025underwood.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) 435-6116JAMES UNDERWOOD(229) 395-3089
  • I do not have a customer email
266 W DOUBLEGATE DR
ALBANY, Georgia 31721
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266 W DOUBLEGATE 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)
underwood1.pdf
2024-69720555Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/24/202501/24/2025CURTIS HUNTERReplacement or New ApplianceNo1New InstallationTankless Water Heater ($200.00)RINNAIV53DEPSG.CA-00478801/24/2025canopy.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) 435-6116CANOPY HOME BUILDERS(229) 881-4606
  • I do not have a customer email
10409 OLD HGA HWY 3
BACONTON, Georgia 31716
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10409 OLD HGA HWY 3
BACONTON, Georgia 31716
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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)
canopy1.pdf
2024-48073206Modern Gas Company, Inc.Mark Holloway(229) 435-6116Email hidden; Javascript is required.Processing01/25/202501/25/2025MIKE BURLESONReplacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($200.00)RINNAIV53DEPSE.CA-00243601/25/2025white.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) 435-6116DENNIS & KELLIE WHITE(229) 336-3155
  • I do not have a customer email
6015 OLD NEWTON RD
CAMILLA, Georgia 31730
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6015 OLD NEWTON RD
CAMILLA, Georgia 31730
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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)
white1.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