| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-79446835 | 04/08/2026 | Franklin Propane Gas, Inc. | Mike Franklin | (478) 552-6667 | Email hidden; Javascript is required. | Submitted | 04/08/2026 | 04/08/2026 | Tyler Holt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160EP | TL.UA-159879 | 04/08/2026 | Fincher-Rebate.pdf | $200.00 | Franklin Propane Gas | Mike Franklin | P O Box 5890 Sandersville, Georgia 31082 Map It | Email hidden; Javascript is required. | (478) 552-6667 | Haley Fincher | (478) 697-9807 | Email hidden; Javascript is required. | 250 Henry Caneega Lane Wrightsville, Georgia 31096 Map It | 250 Henry Caneega Lane Wrightsville, Georgia 31096 Map It | Fincher-Rebate1.pdf | |||||||||||||||||
| 2025-62954181 | 04/10/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Submitted | 04/07/2026 | 03/31/2026 | Jackson Hartley | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160EP | WB.UA-012033 | 04/07/2026 | WILLIAMS-.pdf | $200.00 | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | Bill Williams | (863) 860-8136 | 201 JP Williams Rd Uvalda, Georgia 30473 Map It | 14233 Cameryn Elise Dr Cornelius, North Carolina 28031 Map It | WILLIAMS-1.pdf | ||||||||||||||||||
| 2025-36652735 | 04/10/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Submitted | 04/07/2026 | 03/31/2026 | Jackson Hartley | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | WC.UA-030401 | 03/31/2026 | MANNING.pdf | $200.00 | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | Kelvin Manning | (912) 594-8207 | HWY 221 N MT Vernon, Georgia 30445 Map It | PO Box 172 Uvalda, Georgia 30473 Map It | MANNING1.pdf | ||||||||||||||||||
| 2025-45503163 | 04/10/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Submitted | 04/07/2026 | 03/31/2026 | Jackson Hartley | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160EP | WB.UA-012013 | 04/07/2026 | JOINER.pdf | $200.00 | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | John Joiner | (941) 212-9333 | 527 Coleman Bridge Rd Cobbtown, Georgia 30420 Map It | 4917 60th Ave Circle E Ellenton, Florida 34222 Map It | JOINER1.pdf | ||||||||||||||||||
| 2025-82369506 | 04/10/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Submitted | 04/10/2026 | 04/10/2026 | MICHAEL WEBB | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180IP | TM.UA-172081 | 04/10/2026 | BUCK-VINSON.pdf | $200.00 | Webb Brothers Propane, Inc | Kristy Gamble | PO Drawer 7269 3615 Hwy 82 W Tifton, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 382-0789 | BUCK VINSON | (229) 776-0447 | 229 JODY LN SYLVESTER, Georgia 31791 Map It | 229 JODY LN SYLVESTER, Georgia 31791 Map It | BUCK VINSON | |||||||||||||||||||
| 2025-43682365 | 04/10/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 04/09/2026 | 04/09/2026 | Owen Dills | New Construction | $450.00 | 2 | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | TF.BA-111491 | 04/09/2026 | img20260410_14174059.pdf | Cooktop ($50.00) | Forno | FFSC56113-48 | 25080018 | 04/09/2026 | img20260410_141740591.pdf | $450.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Vitaly Bratnichenko | (678) 989-9750 | 4600 J.M. Turk Road Flowery Branch, Georgia 30542 Map It | 4600 J.M. Turk Road Flowery Branch, Georgia 30542 Map It | N/A | |||||||||||||
| 2025-80098254 | 04/13/2026 | HAROLDS PROPANE | HAROLD CAWTHON | (770) 775-4821 | Email hidden; Javascript is required. | Submitted | 04/09/2026 | 04/09/2026 | KEITH THOMPSON | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RHEEM | PROG40-32PRH62 | Q492504742 | 04/09/2026 | Scan_20260413.pdf | $200.00 | HAROLDS PROPANE | HAROLD CAWTHON | P.O.BOX 219 Jackson, Georgia 30233 Map It | Email hidden; Javascript is required. | (404) 535-0997 | CARL WHITE | (706) 819-0207 | 1091 THOMASON RD MONTICELLO, Georgia 31064 Map It | 1091 THOMASON RD MONTICELLO, Georgia 31064 Map It | Scan_202604131.pdf | ||||||||||||||||||
| 2025-65257682 | 04/13/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 04/10/2026 | 04/10/2026 | Owen Dills | New Construction | $800.00 | 2 | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | RL.BA-124203 | 04/10/2026 | img20260413_11322476.pdf | Propane furnace, or gas pack ($400.00) | Carrier | 350MAV036080 | 2195A08115 | 04/10/2026 | img20260413_113224761.pdf | $800.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Mike Usry | (706) 614-7508 | 36 Weatherstone Way Lavonia, Georgia 30553 Map It | 36 Weatherstone Way Lavonia, Georgia 30553 Map It | N/A | |||||||||||||
| 2025-25685140 | 04/13/2026 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Submitted | 04/13/2026 | 04/13/2026 | TYLER ROBINSON | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | rinnai | RE199ep | ti ua 1617416 | 04/13/2026 | Invoice_20260413_0001.pdf | $200.00 | PARTNERS PROPANE OF GA | AMANDA ALBRITTON | PO BOX 277 BUTLER, Georgia 31006 Map It | Email hidden; Javascript is required. | (478) 862-4644 | TERRY & AMANDA DAVIS | (478) 391-3744 | 17 EDGEWOOD DR BUTLER, Georgia 31006 Map It | 17 EDGEWOOD DR BUTLER, Georgia 31006 Map It | Invoice_20260413_00011.pdf | ||||||||||||||||||
| 2025-72607018 | 04/13/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 04/09/2026 | 04/09/2026 | Matthew Ray | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | TM.UA-172942 | 04/09/2026 | OWENS-3021_0433_260413151840_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 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 3021 Mary Powell Hahira, Georgia 31632 Map It | OWENS-3021_0433_260413151840_0011.pdf | |||||||||||||||||
| 2025-55745781 | 04/13/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 04/09/2026 | 04/09/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | TM.UA-172942 | 04/09/2026 | REDFERN-590_0434_260413151920_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 | Red Fern Construction | (229) 237-0062 | Email hidden; Javascript is required. | 3812 Sirmans Lane Hahira, Georgia 31632 Map It | 590 Bethel Church Road Lake Park, Georgia 31636 Map It | REDFERN-590_0434_260413151920_0011.pdf | |||||||||||||||||
| 2025-37443752 | 04/13/2026 | Conger LP Gas | Charlie Vining | (912) 501-3009 | Email hidden; Javascript is required. | Submitted | 03/09/2026 | 03/09/2026 | Charlie Vining | Replacement or New Appliance | $400.00 | 1 | New Installation | Propane-Fueled Recirculating Water Heater ($400.00) | RINNAI | REP160eP | TJ.UA-132945 | 03/09/2026 | Douglas-Church-Rebate-SUB.pdf | $400.00 | Conger LP Gas | Charlie Vining | 217 Thompson Dr Douglas, Georgia 31533 Map It | Email hidden; Javascript is required. | (912) 501-3009 | Douglas Christian Fellowship | (912) 636-0023 | Email hidden; Javascript is required. | 2761 East Baker Hwy Po Box 3607 Douglas, Georgia 31535 Map It | 2761 East Baker Hwy Po Box 3607 Douglas, Georgia 31535 Map It | Douglas-Church-Rebate-SUB1.pdf | |||||||||||||||||
| 2025-12643652 | 04/14/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Submitted | 04/10/2026 | 04/10/2026 | james seabolt | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199i | TG.BA-172056 | 04/10/2026 |  | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199i | TG.BA-172054 | 04/10/2026 |  | $400.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Structures by Chris Brooks | (229) 396-5677 | Email hidden; Javascript is required. | Chris Brooks 1002 N Tift AVE Tifton, Georgia 31794 Map It | structures by Chris 4003 GA HWY 300 Oakfield, Georgia 31774 Map It | Structures by Chris Brooks | ||||||||||||
| 2025-89706100 | 04/14/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Submitted | 04/14/2026 | 04/14/2026 | ROBERT COTHREN | Replacement or New Appliance | $200.00 | 1 | Conversion | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | TL.UA-161721 | 04/14/2026 | AMBER-BRONSON.pdf | $200.00 | Webb Brothers Propane, Inc | Kristy Gamble | PO Drawer 7269 3615 Hwy 82 W Tifton, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 382-0789 | AMBER BRONSON | (904) 233-4410 | 1576 CHULA BROOKFIELD RD TIFTON, Georgia 31794 Map It | 1576 CHULA BROOKFIELD RD TIFTON, Georgia 31794 Map It | AMBER-BRONSON1.pdf | ||||||||||||||||||
| 2025-16463070 | 04/14/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Submitted | 03/14/2026 | 03/14/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE199eP | UA-074393 | 03/14/2026 | REBATE-CHANCY-FARM.pdf | $200.00 | Barfield Gas Company | Michael Davis | PO BOX 990 PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | CHANCY FARMS CHANCY FARMS | (229) 460-3469 | 5947 SWINDLE RD RAY CITY, Georgia 31645 Map It | 5947 SWINDLE RD RAY CITY, Georgia 31645 Map It | REBATE-CHANCY-FARM1.pdf | ||||||||||||||||||
| 2025-34290949 | 04/14/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Submitted | 03/16/2026 | 03/16/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180eP | TR.UA-146533 | 03/16/2026 | REBATE-B.SMITH_.pdf | $200.00 | Barfield Gas Company | Michael Davis | PO BOX 990 PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | BRIDGETT SMITH | (229) 507-1731 | 192 WHITE RD SPARKS, Georgia 31647 Map It | 192 WHITE RD SPARKS, Georgia 31647 Map It | REBATE-B.SMITH_1.pdf | ||||||||||||||||||
| 2025-50449119 | 04/14/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Submitted | 03/19/2026 | 03/19/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | 199eP | TM.UA-174278 | 03/19/2026 | REBATE-D.DYE_.pdf | $200.00 | Barfield Gas Company | Michael Davis | PO BOX 990 PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | DWAIN DYE | (229) 460-1965 | 2808 FUTCH RD ADEL, Georgia ADEL Map It | 2808 FUTCH RD ADEL, Georgia ADEL Map It | |||||||||||||||||||
| 2025-67424420 | 04/14/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Submitted | 03/23/2026 | 03/23/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | TM.UA176222 | 03/23/2026 | REBATE-L.ROUNTREE.pdf | $200.00 | Barfield Gas Company | Michael Davis | PO BOX 990 PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | LUKE ROUNTREE | (229) 896-6198 | 9101 OLD UNION RD ADEL, Georgia 31620 Map It | 9101 OLD UNION RD ADEL, Georgia 31620 Map It | REBATE-L.ROUNTREE1.pdf | ||||||||||||||||||
| 2025-65934824 | 04/14/2026 | Franklin Propane Gas, Inc. | Mike Franklin | (478) 552-6667 | Email hidden; Javascript is required. | Submitted | 04/14/2026 | 04/14/2026 | Jonathan Franklin | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | A O Smith | G6-T436PVR411 | 2605146865862 | 04/14/2026 | SHEPPARD-REBATE.pdf | $200.00 | Franklin Propane Gas | Mike Franklin | P O Box 5890 Sandersville, Georgia 31082 Map It | Email hidden; Javascript is required. | (478) 552-6667 | D J Sheppard | (706) 467-2297 | 21344 Hwy 15 White Plains, Georgia 30678 Map It | 21344 Hwy 15 White Plains, Georgia 30678 Map It | SHEPPARD-REBATE1.pdf | ||||||||||||||||||
| 2025-56127632 | 04/14/2026 | Partners Propane of GA | Becky Windham | (229) 937-5663 | Email hidden; Javascript is required. | Submitted | 03/25/2026 | 03/25/2026 | Thomas Bain | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TJ.UA-130005 | 03/25/2026 | HOPEWELL-METHODIST-WH-INVOICE_0001.pdf | $200.00 | Partners Propane of GA INC | Jan Whitley | PO Box 5 Ellaville, Georgia 31806 Map It | Email hidden; Javascript is required. | (229) 937-5663 | Hopewell Methodist Church | (229) 937-2497 | 525 Concord Church Rd Ellaville, Georgia 31806 Map It | 2029 Hopewell Church Rd Ellaville, Georgia 31806 Map It | HOPEWELL-METHODIST-WH-INVOICE_00011.pdf | ||||||||||||||||||
| 2025-91795848 | 04/15/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Submitted | 04/15/2026 | 04/15/2026 | ROBERT COTHREN | Replacement or New Appliance | $200.00 | 1 | Conversion | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | PK.UA-111791 | 04/15/2026 | ERWIN-VASQUEZ.pdf | $200.00 | Webb Brothers Propane, Inc | Kristy Gamble | PO Drawer 7269 3615 Hwy 82 W Tifton, Georgia 31793 Map It | Email hidden; Javascript is required. | (229) 382-0789 | ERWIN VASQUEZ | (229) 456-5160 | 3934 THIGPEN TRAIL HARTSFIELD, Georgia 31756 Map It | 3934 THIGPEN TRAIL HARTSFIELD, Georgia 31756 Map It | ERWIN-VASQUEZ1.pdf | ||||||||||||||||||
| 2025-90703617 | 04/20/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 04/03/2026 | 04/03/2026 | Seth Weeks | Replacement or New Appliance | $50.00 | 1 | Replacement Installation | Cooktop ($50.00) | GE | GEPGP9030SLSS | DD172309Q | 04/03/2026 | BENNETT_0486_260420085858_001.pdf | $50.00 | 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 | Betty Bennett | (229) 506-1247 | Email hidden; Javascript is required. | 2506 Will Rewis Road Fargo, Georgia 31631 Map It | 2506 Will Rewis Road Fargo, Georgia 31631 Map It | BENNETT_0486_260420085858_0011.pdf | |||||||||||||||||
| 2025-36082435 | 04/20/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 04/14/2026 | 04/14/2026 | Seth Weeks | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | TJ.UA-134964 | 04/14/2026 | CLASSIC-146_0487_260420085936_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 | Classic Homes By Weaver | (229) 563-5365 | Email hidden; Javascript is required. | 237 Northside Drive Valdosta, Georgia 31601 Map It | 146 Lakeridge Drive Adel, Georgia 31620 Map It | CLASSIC-146_0487_260420085936_0011.pdf | |||||||||||||||||
| 2025-88848249 | 04/20/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 04/10/2026 | 04/10/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-022378 | 04/10/2026 | GLOSTER-1555_0488_260420090021_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 | Gloster Family LLC | (770) 820-6523 | Email hidden; Javascript is required. | 3355 Bethany Bend Alpharetta, Georgia 30004 Map It | 1555 Livingston Road Quitman, Georgia 31643 Map It | GLOSTER-1555_0488_260420090021_0011.pdf | |||||||||||||||||
| 2025-45541487 | 04/20/2026 | Fitzgerald Utilities | Cecilia Smith | (229) 426-5440 | Email hidden; Javascript is required. | Submitted | 04/13/2026 | 04/13/2026 | CHRIS WOODS | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | WB.UA-012322 | 04/13/2026 | T-HUDSON_0001.pdf | $200.00 | FITZGERALD UTILITIES | JUSTIN SUMNER | P.O. BOX 667 FITZGERALD, Georgia 31750 Map It | Email hidden; Javascript is required. | (229) 426-5440 | TREY HUDSON | (229) 424-3470 | 353 FRANK CHURCH RD OCILLA, Georgia 31774 Map It | 353 FRANK CHURCH RD OCILLA, Georgia 31774 Map It | T-HUDSON_00011.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 |
