| Invoice # | Today's Date | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | Total | How many rebates would you like to claim? | Installation Type | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Total | Propane Company Name | Propane Marketer Name | Mailing Address | Email Address | Phone Number | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-22010544 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/12/2026 | 03/12/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX199IN/P | TA.BA-007461 | 03/12/2026 | GLOVER.pdf | $200.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | DR ROBERT GLOVER | (229) 434-0642 | 2617 FOX HOLLOW CT ALBANY, Georgia 31721 Map It | 2617 FOX HOLLOW CT ALBANY, Georgia 31721 Map It | GLOVER1.pdf | ||||||||||||||||||
| 2025-83902193 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/26/2026 | 02/26/2026 | MIKE BURLESON | Replacement or New Appliance | $400.00 | 2 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TL.UA-161563 | 02/26/2026 | WILLMAR.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | WB.UA-010395 | 02/26/2026 | WILLMAR1.pdf | $400.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | WILLMAR PLANTATION | (229) 591-9611 | 1088 USRY RD SMITHVILLE, Georgia 31787 Map It | 1088 USRY RD SMITHVILLE, Georgia 31787 Map It | WILLMAR2.pdf | ||||||||||||
| 2025-65273963 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/10/2026 | 03/10/2026 | Marc Nicholson | New Construction | $250.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | REUVB3237FFUS | THBA187822 | 03/10/2026 | img03182026_0024.pdf | Cooktop ($50.00) | Viking | VG1C5362B55LPU2 | 120623GLP102623 | 03/10/2026 | img03182026_00241.pdf | $250.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Marc Nicholson | (706) 455-7012 | Email hidden; Javascript is required. | 274 Hunters Ridge Mineral Bluff, Georgia 30559 Map It | 895 Price Rd Lot #13 Blue Ridge, Georgia 30513 Map It | Marc Nicholson | ||||||||||||
| 2025-62975229 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/10/2026 | 03/10/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TL.UA-161554 | 03/10/2026 | GRISWOLD.pdf | $200.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | DALLAS GRISWOLD | (229) 200-3429 | 5809 OLD DAWSON RD ALBANY, Georgia 31721 Map It | 5809 OLD DAWSON RD ALBANY, Georgia 31721 Map It | GRISWOLD1.pdf | ||||||||||||||||||
| 2025-87448688 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/12/2026 | 03/12/2026 | ROYCE HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX160IN/P | TH.BA-180431 | 03/12/2026 | BIRTCHET.pdf | $200.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | GABE & GRACE BIRTCHET | (267) 640-1750 | 4274 PLAINS HWY DAWSON, Georgia 369842 Map It | 4274 PLAINS HWY DAWSON, Georgia 369842 Map It | BIRTCHET1.pdf | ||||||||||||||||||
| 2025-32090765 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/04/2026 | 03/04/2026 | TY BROWN | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180IP | TK.UA-156636 | 03/04/2026 | BOGGUS.pdf | $200.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | BILLY BOGGUS CONSTRUCTION | (229) 344-6529 | 109 TYBEE LANE LEESBURG, Georgia 31763 Map It | 109 TYBEE LANE LEESBURG, Georgia 31763 Map It | BILLY BOGGUS CONSTRUCTION | |||||||||||||||||||
| 2025-49344295 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/05/2026 | 03/05/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | V53EP | TH.CA-006817 | 03/05/2026 | SMITH.pdf | $200.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | DR. TODD & SANDRA SMITH | (229) 344-1305 | 444 SAPP ROAD DAWSON, Georgia 39842 Map It | 444 SAPP ROAD DAWSON, Georgia 39842 Map It | SMITH1.pdf | ||||||||||||||||||
| 2025-73238744 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/12/2026 | 03/12/2026 | ROYCE HUNTER | Replacement or New Appliance | $600.00 | 3 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | TB.UA-020725 | 03/12/2026 | SENAH.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | TD.UA-054262 | 03/12/2026 | SENAH1.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | TD.UA-054255 | 03/12/2026 | SENAH2.pdf | $600.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | SENAH PLANTATION | (229) 413-3907 | 279 PHILEMA RD LEESBURG, Georgia 31763 Map It | 279 PHILEMA RD LEESBURG, Georgia 31763 Map It | SENAH3.pdf | ||||||
| 2025-19434595 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/11/2026 | 03/11/2026 | Brandon Payne | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Trane | 4TXCB004D53HCCV | 24032X5WCV | 03/11/2026 | img03182026_0029.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Lloyd Burger | (678) 414-4266 | Email hidden; Javascript is required. | 651 N. Old Aska Rd Blue Ridge, Georgia 30513 Map It | 651 N. Old Aska Rd Blue Ridge, Georgia 30513 Map It | N/A | ||||||||||||||||||
| 2025-37524513 | 03/18/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 02/18/2026 | 02/18/2026 | Taylor Newsome | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | TF.UA-084771 | 02/18/2026 | 3706_260318125852_001.pdf | $200.00 | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Kohl Summerlin | (229) 456-2569 | Email hidden; Javascript is required. | 1088 Summerlin Rd Moultrie, Georgia 31768 Map It | 1088 Summerlin Rd Moultrie, Georgia 31768 Map It | 3706_260318125852_0011.pdf | |||||||||||||||||
| 2025-14206502 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/11/2026 | 03/11/2026 | Brandon Payne | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | Carrier | 59MN76080C2 | D825A4884 | 03/11/2026 | img03182026_0035.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navien | NPE240A2 | 2081C255226 | 03/11/2026 | img03182026_00351.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Ann Ward | (770) 608-7699 | Email hidden; Javascript is required. | 297 Woods Rd Blairsville, Georgia 30512 Map It | 297 Woods Rd Blairsville, Georgia 30512 Map It | n/a | ||||||||||||
| 2025-61966996 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/13/2026 | 03/13/2026 | Brandon Payne | New Construction | $50.00 | 1 | Cooktop ($50.00) | Kitchen-Aid | KSG53305PSD | RE4714698 | 03/13/2026 | img03182026_0039.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Joe Jarist | (706) 889-6322 | Email hidden; Javascript is required. | 698 Oakridge Way Ellijay, Georgia 30560 Map It | 698 Oakridge Way Ellijay, Georgia 30560 Map It | N/a | ||||||||||||||||||
| 2025-26867618 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Updated | 03/12/2026 | 03/12/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Replacement Installation | Cooktop ($50.00) | LG | LRBN6324100 | 5D8MM62D103101 | 03/12/2026 | img03182026_0042.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Steven Lunt | (954) 609-6845 | Email hidden; Javascript is required. | 59 Indian Trace Mineral Bluff, Georgia 30559 Map It | 59 Indian Trace Mineral Bluff, Georgia 30559 Map It | img03182026_00421.pdf | |||||||||||||||||
| 2025-53731083 | 03/19/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Payment Sent | 02/23/2026 | 02/23/2026 | Kyle Adams | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP160eP | PE.UA-027188 | 02/23/2026 | 2241_001.pdf | $400.00 | Conger LP Gas | Lee Mathews | 146 S. RIDGE AVE. TIFTON, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Bill Dawson | (229) 402-4613 | Email hidden; Javascript is required. | 108 24th Street Tifton, Georgia 31794 Map It | 108 24th Street Tifton, Georgia 31794 Map It | 2241_0011.pdf | |||||||||||||||||
| 2025-80605834 | 03/19/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Payment Sent | 02/23/2026 | 02/23/2026 | Landon Dotson | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | TH.UA-116502 | 02/23/2026 | 2245_001.pdf | $200.00 | Conger LP Gas | Lee Mathews | 146 S. RIDGE AVE. TIFTON, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Blake Davis | (229) 392-2894 | Email hidden; Javascript is required. | 3513 Baker Sawmill Rd. Lenox, Georgia 31637 Map It | 3513 Baker Sawmill Rd. Lenox, Georgia 31637 Map It | 2245_0011.pdf | |||||||||||||||||
| 2025-73129616 | 03/19/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/17/2026 | 03/17/2026 | Dillion Payne | Replacement or New Appliance | $50.00 | 1 | Conversion | Dryer ($50.00) | GE Appliances | GIDU86ASW04P | AD5B8620C | 03/17/2026 | img03192026_0013.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Joan Kovsky | (706) 455-7775 | Email hidden; Javascript is required. | 655 Blue Ridge Drive Blue Ridge, Georgia 30513 Map It | 2249 Blue Ridge Dr Blue Ridge, Georgia 30513 Map It | img03192026_0014.pdf | |||||||||||||||||
| 2025-50869152 | 03/19/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Payment Sent | 02/23/2026 | 02/23/2026 | Hunter Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | TH.UA-116511 | 02/23/2026 | 2247_001.pdf | $200.00 | Conger LP Gas | Lee Mathews | 146 S. RIDGE AVE. TIFTON, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | Carol Myers-Fuqua | (813) 760-7028 | Email hidden; Javascript is required. | 165 Pansy Rd. Ocilla, Georgia 31774 Map It | 165 Pansy Rd. Ocilla, Georgia 31774 Map It | 2247_0011.pdf | |||||||||||||||||
| 2025-55427394 | 03/19/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/16/2026 | 03/16/2026 | Brandon Payne | Replacement or New Appliance | $250.00 | 2 | Conversion | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navien | NPE240A2NG | 2087D2571874184 | 03/16/2026 | img03192026_0018.pdf | Cooktop ($50.00) | Z;ome | CGRB30A1 | CGRB305E24081033 | 03/16/2026 | img03192026_00181.pdf | $250.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Frank Morrison | (404) 740-9758 | Email hidden; Javascript is required. | 762 Town Creek Rd Talking Rock, Georgia 30175 Map It | 762 Town Creek Rd Talking Rock, Georgia 30175 Map It | img03192026_00182.pdf | |||||||||||
| 2025-11118983 | 03/19/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Payment Sent | 03/17/2026 | 03/17/2026 | Levi Wilbanks | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinna | RE180e | TM.UA-176139 | 03/17/2026 |  | $200.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Bill Murphree | (229) 881-9477 | 119 ELLI DR SYLVESTER, Georgia 31791 Map It | 119 ELLI DR SYLVESTER, Georgia 31791 Map It | |||||||||||||||||||
| 2025-28538266 | 03/19/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 02/23/2026 | 02/23/2026 | Jordan Ledford | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | SJ.UA-131764 | 02/23/2026 | GREEN-2186_0205_260319133149_001.pdf | $200.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Matt Green | (229) 225-7793 | Email hidden; Javascript is required. | 2186 Son Wright Road Dixie, Georgia 31629 Map It | 2186 Son Wright Road Dixie, Georgia 31629 Map It | GREEN-2186_0205_260319133149_0011.pdf | |||||||||||||||||
| 2025-34435821 | 03/19/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 03/17/2026 | 03/17/2026 | Owen Dills | New Construction | $400.00 | 1 | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | SK-BA-166892 | 03/17/2026 | img20260319_14390083.pdf | $400.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Matthew Blomberg | (706) 363-2448 | 138 Majestic Shores Drive Hartwell, Georgia 30643 Map It | 138 Majestic Shores Drive Hartwell, Georgia 30643 Map It | N/A | |||||||||||||||||||
| 2025-57254922 | 03/20/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 02/23/2026 | 02/23/2026 | Conner Seabolt | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160EP | TJ.UA-134956 | 02/23/2026 | 3721_260320081604_001.pdf | $200.00 | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Robert Williams | (478) 335-7154 | Email hidden; Javascript is required. | 175 Sykes Lane Omega, Georgia 31775 Map It | 175 Sykes Lane Omega, Georgia 31775 Map It | 3721_260320081604_0011.pdf | |||||||||||||||||
| 2025-36321368 | 03/20/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 03/18/2026 | 03/18/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX160iN | TH.BA-178617 | 03/18/2026 | SOWELL-1073_0212_260320093032_001.pdf | $200.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Donnie Sowell | (229) 560-8093 | Email hidden; Javascript is required. | 1073 Melrose Road Lake Park, Georgia 31636 Map It | 1073 Melrose Road Lake Park, Georgia 31636 Map It | SOWELL-1073_0212_260320093032_0011.pdf | |||||||||||||||||
| 2025-68964346 | 03/20/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 03/13/2026 | 03/13/2026 | Seth Weeks | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RU130eP | MF.BA-068858 | 03/13/2026 | COPELAND-4950_0213_260320093114_001.pdf | $200.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 W Suite B Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Jan Copeland | (229) 300-4648 | Email hidden; Javascript is required. | 4950 Tucker Road Valdosta, Georgia 31601 Map It | 4950 Tucker Road Valdosta, Georgia 31601 Map It | COPELAND-4950_0213_260320093114_0011.pdf | |||||||||||||||||
| 2025-36460143 | 03/20/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 02/23/2026 | 02/23/2026 | Jordan Ledford | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RL75ep | FC.CA-042062 | 02/23/2026 | 3724_260320094303_001.pdf | $200.00 | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Mike Burdick | (928) 242-4602 | Email hidden; Javascript is required. | 248 Suwanee Rd Moultrie, Georgia 31788 Map It | 248 Suwanee Rd Moultrie, Georgia 31788 Map It | 3724_260320094303_0011.pdf | |||||||||||||||||
| Invoice # | Today's Date | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | Total | How many rebates would you like to claim? | Installation Type | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Appliance Type | Brand | Model # | Model # | Serial Number | Installation Date | Upload Receipt | Total | Propane Company Name | Propane Marketer Name | Mailing Address | Email Address | Phone Number | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
