| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-75559534 | 06/29/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 06/22/2026 | 06/22/2026 | Matthew Ray | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE199eP | WD.UA-041532 | 06/22/2026 | FIRM-2008_1146_260629083225_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 | Firm Found | (229) 561-0082 | Email hidden; Javascript is required. | 2008 Mcree Court Valdosta, Georgia 31601 Map It | 2008 Mcree Court Valdosta, Georgia 31601 Map It | FIRM-2008_1146_260629083225_0011.pdf | |||||||||||||||||
| 2025-99961386 | 06/29/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 06/18/2026 | 06/18/2026 | Seth Weeks | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-024175 | 06/18/2026 | LAHOOD-118_1147_260629083309_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 | Caton Lahood | (229) 292-2904 | Email hidden; Javascript is required. | 118 Sparrow Hawk Valdosta, Georgia 31602 Map It | 118 Sparrow Hawk Valdosta, Georgia 31602 Map It | LAHOOD-118_1147_260629083309_0011.pdf | |||||||||||||||||
| 2025-46356627 | 06/29/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 06/22/2026 | 06/22/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RSC199eP | RE.BA-065299 | 06/22/2026 | SMITH-1_1148_260629083344_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 | Mabry Smith | (229) 563-2570 | Email hidden; Javascript is required. | 1 Virginia Lane Barney, Georgia 31625 Map It | 1 Virginia Lane Barney, Georgia 31625 Map It | SMITH-1_1148_260629083344_0011.pdf | |||||||||||||||||
| 2025-84056945 | 06/29/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 06/23/2026 | 06/23/2026 | Seth Weeks | Replacement or New Appliance | $400.00 | 2 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-024174 | 06/23/2026 | BUILDING-3047_1149_260629083416_001.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WD.UA-038712 | 06/23/2026 | BUILDING-3047_1149_260629083416_0011.pdf | $400.00 | 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 | Building Valdosta | (229) 740-0978 | Email hidden; Javascript is required. | 231 Northside Drive Valdosta, Georgia 31602 Map It | 3047 Mary Powell Way Hahira, Georgia 31632 Map It | BUILDING-3047_1149_260629083416_0012.pdf | |||||||||||
| 2025-77413762 | 06/30/2026 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Submitted | 06/29/2026 | 06/29/2026 | TYLER ROBINSON | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | rinnai | re180ep | wc. Ua-026183 | 06/29/2026 | Invoice_20260629_0003.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 | SCOTT POSEY | (770) 845-1271 | 38 S MACON ST REYNOLDS, Georgia 31076 Map It | 38 S MACON ST REYNOLDS, Georgia 31076 Map It | Invoice_20260629_00031.pdf | ||||||||||||||||||
| 2025-25892809 | 06/30/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 06/23/2026 | 06/23/2026 | Matthew Ray | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | TL.UA-163698 | 06/23/2026 | PREMIERE-5052_1179_260630091351_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 | Premiere Southern | (229) 263-1602 | Email hidden; Javascript is required. | 2410 Andover Drive Valdosta, Georgia 31602 Map It | 5052 Hatfield Circle Hahira, Georgia 31632 Map It | PREMIERE-5052_1179_260630091351_0011.pdf | |||||||||||||||||
| 2025-21426678 | 06/30/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Submitted | 06/24/2026 | 06/24/2026 | Taylor Newsome | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Bradford White | RG240T6X | AH53808750 | 06/24/2026 | 4510_260630153030_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 | Wavell Robinson | (229) 589-0611 | Email hidden; Javascript is required. | 13576 Tallokas Rd Pavo, Georgia 31778 Map It | 79 Carrol Rd Pavo, Georgia 31778 Map It | 4510_260630153030_0011.pdf | |||||||||||||||||
| 2025-97221873 | 06/30/2026 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Submitted | 06/30/2026 | 06/30/2026 | Tyler ROBINSON | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | V53de | TE. Ca-002987 | 06/30/2026 | Document_20260630_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 | SCOTT AND AMANDA PIERCE | (813) 789-9386 | 6803 THONOTOSASSSA RD PLANT CITY, Florida 33565 Map It | 2502 BROOKS RD IDEAL, Georgia 31041 Map It | Document_20260630_00011.pdf | ||||||||||||||||||
| 2025-68091676 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/29/2026 | 06/29/2026 | Alex Cash | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | LG | LR6N63214 | 606MMDKOT122 | 06/29/2026 | img07012026_0017.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Avery Smith | (407) 498-8008 | Email hidden; Javascript is required. | 395 Capri Isles Ct Punta Gorda, Florida 33950 Map It | 303 Fawn Trail Morganton, Georgia 30560 Map It | img07012026_00171.pdf | |||||||||||||||||
| 2025-99329210 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/30/2026 | 06/30/2026 | Dillion Payne | New Construction | $50.00 | 1 | Cooktop ($50.00) | LG | FOOF3054MPB | VF13042717 | 06/30/2026 | img07012026_0018.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Eugene Smiley | (706) 455-8211 | Email hidden; Javascript is required. | 755 White Blossom Ct Powder Springs, Georgia 30127 Map It | 209 Coldwater Creek Dr. Mineral Bluff, Georgia 30559 Map It | N/a | ||||||||||||||||||
| 2025-21287815 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/26/2026 | 06/26/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Whirlpool | WEG515S0LSM | REU035488 | 06/26/2026 | img07012026_0019.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Jonathan Meldrum | (321) 794-7942 | Email hidden; Javascript is required. | 1450 Ritchie Creek Rd Blue Ridge, Georgia 30513 Map It | 1450 Ritchie Creek Rd Blue Ridge, Georgia 30513 Map It | img07012026_00191.pdf | |||||||||||||||||
| 2025-68611329 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/24/2026 | 06/24/2026 | Alvin Wilcox | Replacement or New Appliance | $400.00 | 1 | New Installation | Propane furnace, or gas pack ($400.00) | Tempstar | EAM5X42M21A1E | J23704459 | 06/24/2026 | img07012026_0020.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Harley Miller | (706) 633-4555 | Email hidden; Javascript is required. | 2501 SE 8th St. Pomgal Beach, Florida 33062 Map It | 858 Adra Morganton, Georgia 30560 Map It | img07012026_00201.pdf | |||||||||||||||||
| 2025-91163608 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/25/2026 | 06/25/2026 | Jamie Cochran | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | GE | 45GS503520 | RF1415238 | 06/25/2026 | img07012026_0032.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | James Pasley | (229) 834-2320 | Email hidden; Javascript is required. | 374 Huckleberry Lane Mineral Bluff, Georgia 30559 Map It | 361 Huckleberry Ln. Mineral Bluff, Georgia 30559 Map It | img07012026_00321.pdf | |||||||||||||||||
| 2025-90221748 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/25/2026 | 06/25/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Zline | RA36 | RA36GE251200196N09 | 06/25/2026 | img07012026_0033.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Hannah Love DBA The Ridge At Ellijay | (706) 258-7464 | Email hidden; Javascript is required. | 385 Summit View Drive Ellijay, Georgia 30540 Map It | 287 State Street Unit B Blue Ridge, Georgia 30513 Map It | img07012026_00331.pdf | |||||||||||||||||
| 2025-64163871 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/30/2026 | 06/30/2026 | Brandon Payne | Replacement or New Appliance | $50.00 | 1 | Replacement Installation | Cooktop ($50.00) | KitchenAid | KSGB90DE556 | RE0411101 | 06/30/2026 | img07012026_0034.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Kevin Moody Covered Bridge Estates | (404) 458-2823 | Email hidden; Javascript is required. | 2675 Paces Ferry Rd SE Suite 150 Atlanta, Georgia 30339 Map It | 302 Lower Creek Trail Ellijay, Georgia 30540 Map It | img07012026_00341.pdf | |||||||||||||||||
| 2025-89813401 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/25/2026 | 06/25/2026 | Jeff Dillard | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Rheem | RCFZ4821SH | W1422286729 | 06/25/2026 | img07012026_0035.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Josha Hirscceimer | (914) 263-0586 | Email hidden; Javascript is required. | 1080 Peachtree St NE Apt 909 Atlanta, Georgia 30309 Map It | 242 Whisperwood Trail Mineral Bluff, Georgia 30559 Map It | n/a | ||||||||||||||||||
| 2025-78201211 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/29/2026 | 06/29/2026 | Alvin Wilcox | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnia | RENNB3237FFNSN | SHBA132689 | 06/29/2026 | img07012026_00351.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Hoel; Shannon | (404) 863-6636 | Email hidden; Javascript is required. | 4420 Red Rock Point Suwanee, Georgia 30024 Map It | 416 Brown Bear Path Blue Ridge, Georgia 30513 Map It | img07012026_00352.pdf | |||||||||||||||||
| 2025-56345196 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/26/2026 | 06/26/2026 | Alex Cashman | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | CARRIER | F75ANKC36 | 3025F2D0002 | 06/26/2026 | img07012026_0036.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnia | REUNBP3237 | FCBA046169 | 06/26/2026 | img07012026_00361.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Jim Jamison dba JJ Property Holdings LLC | (706) 455-3361 | Email hidden; Javascript is required. | 968 Lake View Rd Blue Ridge, Georgia 30513 Map It | 968 Lake View Rd Blue Ridge, Georgia 30513 Map It | n/a | ||||||||||||
| 2025-33211016 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/26/2026 | 06/26/2026 | Alvin Wilcox | New Construction | $450.00 | 2 | Propane furnace, or gas pack ($400.00) | Goodman | CHPT4860D4AA | 2310336422 | 06/26/2026 | img07012026_0039.pdf | Cooktop ($50.00) | Samsung | NA60AGH55AA | 054P7DAYC00699W | 06/26/2026 | img07012026_00391.pdf | $450.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Megan Atherton | (678) 481-1388 | Email hidden; Javascript is required. | 1760 Mayfield Road Alpharetta,, Georgia 30009 Map It | 60 Orange Ln. Mccaysville, Georgia 30555 Map It | n/a | ||||||||||||
| 2025-78472525 | 07/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 06/24/2026 | 06/24/2026 | Jeff Dillard | New Construction | $50.00 | 1 | Cooktop ($50.00) | LG | LSG4515BIY | 811KMLK076 | 06/24/2026 | img07012026_0040.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 Dart | (717) 870-8700 | Email hidden; Javascript is required. | 331 Griffith Parkway Blue Ridge, Georgia 30513 Map It | 331 Griffith Parkway Blue Ridge, Georgia 30513 Map It | n/a | ||||||||||||||||||
| 2025-66068665 | 07/01/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Submitted | 06/30/2026 | 06/30/2026 | Jordan Ledford | Replacement or New Appliance | $400.00 | 2 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160ep | WE.UA-055292 | 06/30/2026 | 4526_260701144745_001.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160ep | WE.UA-055294 | 06/30/2026 | 4526_260701144745_0011.pdf | $400.00 | Conger LP Gas Moultrie | Kyle Johnson | 3117 veterans parkway s Moultrie, Georgia 31768 Map It | Email hidden; Javascript is required. | (229) 985-6942 | Madison Kinard | (229) 561-3932 | Email hidden; Javascript is required. | 1405 Clyde Griffin Rd Thomasville, Georgia 31757 Map It | tillman & Lee Court House intersect Moultrie, Georgia 31768 Map It | 4526_260701144745_0012.pdf | |||||||||||
| 2025-96229779 | 07/02/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Submitted | 06/29/2026 | 06/29/2026 | James Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160e | PG.UA-050052 | 06/29/2026 | $200.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Chris Brooks | (229) 206-5422 | Email hidden; Javascript is required. | Chris Brooks 2422 Evergreen Rd, Georgia 31744 Map It | Chris Brooks 2422 Evergreen Rd, Georgia 31744 Map It | |||||||||||||||||||
| 2025-62986586 | 07/02/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Submitted | 06/30/2026 | 06/30/2026 | James Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180e | WC.UA-025683 | 06/30/2026 | $200.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Brian Baggett | (229) 881-2874 | Brian Baggett 1141 Doehill Rd, Georgia 31781 Map It | Brian Baggett 1141 Doehill Rd, Georgia 31781 Map It | ||||||||||||||||||||
| 2025-52703952 | 07/02/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Submitted | 06/09/2026 | 06/09/2026 | DANIEL SIKES | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199e | TJ.UA-143220 | 06/09/2026 | HPSCAN_20260702152146264_2026-07-02_152234350-compressed.pdf | $200.00 | SIKES PROPANE INC. | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | SOUTHERN GROUND ESTHETICS ESTHETICS | (931) 200-1361 | 12 WILSON ST HAZLEHURST, Georgia 31539 Map It | 12 WILSON ST HAZLEHURST, Georgia 31539 Map It | HPSCAN_20260702152146264_2026-07-02_152234350-compressed1.pdf | ||||||||||||||||||
| 2025-81506671 | 07/03/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Submitted | 06/30/2026 | 06/30/2026 | DANIEL SIKES | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RHEAM | G100-200 | A232607370 | 06/30/2026 | HPSCAN_20260703125010851_2026-07-03_125059292-compressed.pdf | $200.00 | SIKES PROPANE INC. | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | JOHN WESTSTEYN CATTLE | (912) 316-1005 | 600 DAMASCUS CHURCH RD MERSHON, Georgia 31551 Map It | 600 DAMASCUS CHURCH RD MERSHON, Georgia 31551 Map It | HPSCAN_20260703125010851_2026-07-03_125059292-compressed1.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 |
