| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-97927045 | 07/22/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/17/2026 | 07/17/2026 | Dillon Payne | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Lenoxx | CK402CT36V71 | 1526CO4307 | 07/17/2026 | img07222026_0008.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Barry Scott | (770) 943-9654 | Email hidden; Javascript is required. | 171 Nolan Way Canton, Georgia 30115 Map It | 302 East Second St Blue Ridge, Georgia 30513 Map It | n/a | ||||||||||||||||||
| 2025-54284850 | 07/22/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/17/2026 | 07/17/2026 | Dillon Payne | New Construction | $50.00 | 1 | Cooktop ($50.00) | GE | PGB9354P5F5 | LD392417P | 07/17/2026 | img07222026_0007.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Cynthia Robinson | (678) 779-5420 | Email hidden; Javascript is required. | 10345 Oxford Mill Cir Johns Creek, Georgia 30022 Map It | 436 Arrowhead dr Mineral Bluff, Georgia 30559 Map It | n/a | ||||||||||||||||||
| 2025-46602121 | 07/22/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/17/2026 | 07/17/2026 | Jamie Cochran | New Construction | $50.00 | 1 | Cooktop ($50.00) | Vicking | VGIC53626B55LP04 | 62426C10110464 | 07/17/2026 | img07222026_0006.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Marc Nicholson | (706) 455-1078 | Email hidden; Javascript is required. | 274 Hunters Ridge Rd Mineral Bluff, Georgia 30559 Map It | 274 Hunters Ridge Rd Mineral Bluff, Georgia 30559 Map It | Marc Nicholson | ||||||||||||||||||
| 2025-91925161 | 07/22/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/20/2026 | 07/20/2026 | Alvin Wilcox | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Bryant | CVAMR3617XMAEBAA | 1026726910 | 07/20/2026 | img07222026_0005.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Lynn Ward | (706) 632-7317 | PO Box 92 Blue Ridge, Georgia 30513 Map It | 630 Windy Ridge Blue Ridge, Georgia 30513 Map It | n/a | |||||||||||||||||||
| 2025-18925275 | 07/22/2026 | Franklin Propane Gas, Inc. | Mike Franklin | (478) 552-6667 | Email hidden; Javascript is required. | Payment Sent | 07/22/2026 | 07/22/2026 | Jonathan Franklin | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | TK.UA-157490 | 07/22/2026 | Helton-Rebate-Form.pdf | $200.00 | Franklin Propane Gas Inc. | Mike Franklin | PO Box 5890 Sandersville, Georgia 31082 Map It | Email hidden; Javascript is required. | (478) 552-6667 | Billy Helton | (478) 553-0054 | 11325 S Sparta Davisboro Rd Warthen, Georgia 31094 Map It | 11325 S Sparta Davisboro Rd Warthen, Georgia 31094 Map It | Helton-Rebate-Form1.pdf | ||||||||||||||||||
| 2025-42592492 | 07/23/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/16/2026 | 07/16/2026 | Seth Weeks | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WD.UA-038705 | 07/16/2026 | KILLGORE-9152_1406_260723081841_001.pdf | $200.00 | Conger LP Gas | Richard McCranie | 9152 Coffee Road Hahira, Georgia 31632 Map It | Email hidden; Javascript is required. | (229) 469-4250 | KILLGORE LAND MANAGEMENT | (229) 794-1191 | Email hidden; Javascript is required. | 9152 Coffee Road Hahira, Georgia 31632 Map It | 9152 Coffee Road Hahira, Georgia 31632 Map It | KILLGORE-9152_1406_260723081841_0011.pdf | |||||||||||||||||
| 2025-51441810 | 07/23/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 07/21/2026 | 07/21/2026 | Kevin Smoot | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Carrier | 59TN7A080C21 | 0025A46907 | 07/21/2026 | img20260723_08563182.pdf | $400.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Randall Wissink | (920) 606-1427 | 1330 Spratlin Mill Road Hull, Georgia 30646 Map It | 1330 Spratlin Mill Road Hull, Georgia 30646 Map It | N/A | |||||||||||||||||||
| 2025-28470333 | 07/23/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 07/22/2026 | 07/22/2026 | Owen Dills | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RL75i | PF.CA084812 | 07/22/2026 | img20260723_16303942.pdf | $200.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Steve Broadwell | (706) 594-2155 | 322 Ridgewood Road Jefferson, Georgia 30549 Map It | 322 Ridgewood Road Jefferson, Georgia 30549 Map It | N/A | |||||||||||||||||||
| 2025-46437825 | 07/24/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Payment Sent | 06/29/2026 | 06/29/2026 | Jonathan Mauldin | Replacement or New Appliance | $400.00 | 2 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX180IN | TM.BA-276921 | 06/29/2026 | BRITT_20260724_0001.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX180IN | TM.BA-034487 | 06/29/2026 | BRITT_20260724_00011.pdf | $400.00 | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | Robin Britt | (912) 293-6067 | 40 Ginger Farm Rd Hazelhurst, Georgia 31539 Map It | 40 Ginger Farm Rd Hazelhurst, Georgia 31539 Map It | BRITT_20260724_00012.pdf | ||||||||||||
| 2025-74325003 | 07/24/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Payment Sent | 06/30/2026 | 06/30/2026 | Jackson Hartley | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160EP | WD.UA-038713 | 06/30/2026 | SHUMAN_20260724_0001.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | TJ.UA-142740 | 06/30/2026 | SHUMAN_20260724_00011.pdf | $400.00 | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | Chase Shuman | (912) 659-7153 | 8340 Canoochee Rd Metter, Georgia 30420 Map It | 8340 Canoochee Rd Metter, Georgia 30420 Map It | Mathew Rigdon Construction | |||||||||||||
| 2025-38007412 | 07/24/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Payment Sent | 07/06/2026 | 07/06/2026 | Jackson Hartley | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX130IN | WA.BA-012470 | 07/06/2026 | Crews_20260724_0001.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 | Lindsay Crews | (706) 288-4672 | 820 Ben Roy Mclendon Rd Lyons, Georgia 30436 Map It | 820 Ben Roy Mclendon Rd Lyons, Georgia 30436 Map It | Crews_20260724_00011.pdf | ||||||||||||||||||
| 2025-85102499 | 07/24/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Payment Sent | 07/06/2026 | 07/06/2026 | Jackson Hartley | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | WE.UA-051372 | 07/06/2026 | Garner_20260724_0001.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 Garner | (912) 278-4352 | 1655 Miles Beckworth Rd Baxley, Georgia 31513 Map It | 1655 Miles Beckworth Rd Baxley, Georgia 31513 Map It | Dixie Builders | |||||||||||||||||||
| 2025-61617981 | 07/24/2026 | Conger LP Gas | Charlie Vining | (912) 501-3009 | Email hidden; Javascript is required. | Payment Sent | 06/25/2026 | 06/22/2026 | Charlie Vining | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | WC.UA-030777 | 06/24/2026 | Matthew-McKinnon-Rinnai-Rebate.pdf | $200.00 | Conger LP Gas | Charlie Vining | 217 Thompson Dr Douglas, Georgia 31533 Map It | Email hidden; Javascript is required. | (912) 501-3009 | MATTHEW MCKINNON | (912) 327-0615 | 1716 TALMADGE MCKINNON RD WILLACOOCHEE, Georgia 31650 Map It | 1716 TALMADGE MCKINNON RD WILLACOOCHEE, Georgia 31650 Map It | Matthew-McKinnon-Rinnai-Rebate1.pdf | ||||||||||||||||||
| 2025-16403933 | 07/24/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 07/13/2026 | 07/13/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | 199eP | WE.UA-057021 | 07/13/2026 | REBATE-V.BROCK-58096.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 | VICKI BROCK | (254) 493-7231 | 1730 HOWARD RD PAVO, Georgia 31778 Map It | 1730 HOWARD RD PAVO, Georgia 31778 Map It | REBATE-V.BROCK-580961.pdf | ||||||||||||||||||
| 2025-69758636 | 07/24/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 07/13/2026 | 07/13/2026 | Taylor Newsome | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | TL.UA-163718 | 07/13/2026 | 4683_260724143225_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 | Chris Voyles | (229) 421-1739 | Email hidden; Javascript is required. | 2324 Coffee Rd Boston, Georgia 31626 Map It | 2324 Coffee Rd Boston, Georgia 31626 Map It | 4683_260724143225_0011.pdf | |||||||||||||||||
| 2025-77147448 | 07/27/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Payment Sent | 07/20/2026 | 07/20/2026 | Eric Pritchard | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WB.UA-012885 | 07/20/2026 | 4742_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 | Lewis Taylor Farms | (229) 382-4454 | Email hidden; Javascript is required. | 195 TyTy Omega Rd. Tifton, Georgia 31793 Map It | 195 TyTy Omega Rd. Tifton, Georgia 31793 Map It | 4742_0011.pdf | |||||||||||||||||
| 2025-92285905 | 07/27/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Payment Sent | 07/20/2026 | 07/20/2026 | James Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180e | WC.UA-025024 | 07/20/2026 |  | $200.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | CHAD MCDONALD CONSTRUCTION | (229) 881-9477 | Email hidden; Javascript is required. | Chad McDonald 3805 Ga HWY 313N Sylvester, Georgia 31791 Map It | Ken Morey 13760 State Rd 93 Baconton, Georgia 31716 Map It | ||||||||||||||||||
| 2025-22986434 | 07/28/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 07/13/2026 | 07/13/2026 | Owen Dills | New Construction | $250.00 | 2 | Cooktop ($50.00) | Whirlpool | WFG320M0BW2 | VE93023358 | 07/13/2026 | img20260728_09114230.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Reliance | 6-40-POCT401 | 1733107171546 | 07/13/2026 | img20260728_091142301.pdf | $250.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Sandra Beem | (706) 207-0408 | 435 Raford Wilson Road Commerce, Georgia 30529 Map It | 435 Raford Wilson Road Commerce, Georgia 30529 Map It | N/A | |||||||||||||
| 2025-83559542 | 07/28/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/22/2026 | 07/22/2026 | Brandon Payne | New Construction | $50.00 | 1 | Cooktop ($50.00) | Hot Point | RGB5330DR38B | HD334190R | 07/22/2026 | img07282026_0010.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Brett Benson | (706) 633-7643 | Email hidden; Javascript is required. | 1780 ADA St. Blue Ridge, Georgia 30513 Map It | 1780 ADA St. Blue Ridge, Georgia 30513 Map It | n/a | ||||||||||||||||||
| 2025-82670762 | 07/28/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/24/2026 | 07/24/2026 | Alvin Wilcox | New Construction | $50.00 | 1 | Cooktop ($50.00) | Fornd | FFSG61116 | 24120136 | 07/24/2026 | img07282026_0011.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Brian Ouellette | (470) 809-2241 | Email hidden; Javascript is required. | 128 Briar Gate Drive Jones Creek, Georgia 30097 Map It | 240 Whipporwill Walk Mineral Bluff, Georgia 30559 Map It | n/a | ||||||||||||||||||
| 2025-77356097 | 07/28/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/22/2026 | 07/22/2026 | Brandon Payne | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | Fridrich | M92MSN0601714A1 | A260864205 | 07/22/2026 | img07282026_0013.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navain | NPE-240A2 | 2087W26020 | 07/22/2026 | img07282026_00131.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Brian Cowart | (706) 455-1554 | Email hidden; Javascript is required. | 101 Bennett Springs Court Mineral Bluff, Georgia 30559 Map It | 185 Richards Branch Rd Mineral Bluff, Georgia 30559 Map It | Marc Nicholson | ||||||||||||
| 2025-79029254 | 07/28/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 07/14/2026 | 07/14/2026 | Taylor Newsome | Replacement or New Appliance | $400.00 | 2 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199IN | WA.BA-004981 | 07/14/2026 | 4704_260728161616_001.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199IN | WA.BA-004832 | 07/14/2026 | 4704_260728161616_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 | Richie Turner | (229) 873-2146 | Email hidden; Javascript is required. | 21 Old Tram Rd Moultrie, Georgia 31768 Map It | 21 Old Tram Rd Moultrie, Georgia 31768 Map It | 4704_260728161616_0012.pdf | |||||||||||
| 2025-83950741 | 07/30/2026 | Conger LP Gas | Charlie Vining | (912) 501-3009 | Email hidden; Javascript is required. | Payment Sent | 07/29/2026 | 07/29/2026 | Charlie Vining | Replacement or New Appliance | $400.00 | 2 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | WC.UA-034444 | 07/29/2026 | MIGUEL-CARDENAS-RINNAI-REBATE.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | WE.UA-052001 | 07/29/2026 | MIGUEL-CARDENAS-RINNAI-REBATE1.pdf | $400.00 | Conger LP Gas | Charlie Vining | 217 Thompson Dr Douglas, Georgia 31533 Map It | Email hidden; Javascript is required. | (912) 501-3009 | MIGUEL CARDENAS | (912) 501-3009 | 415 CUMORAH CEMETERY RD Douglas, Georgia 31535 Map It | 415 CUMORAH CEMETERY RD Douglas, Georgia 31535 Map It | MIGUEL-CARDENAS-RINNAI-REBATE2.pdf | ||||||||||||
| 2025-43701656 | 07/30/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Payment Sent | 07/24/2026 | 07/24/2026 | James Seabolt | Replacement or New Appliance | $400.00 | 2 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199i | WC.BA-029581 | 07/24/2026 |  | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199i | WB.Ba-017143 | 07/24/2026 |  | $400.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Quail Ridge Construction | (229) 392-2845 | Email hidden; Javascript is required. | Quail Ridge Construction 1684 Wrights Chapel rd Sumner, Georgia 31789 Map It | Quail Ridge Construction 1684 Wrights Chapel rd Sumner, Georgia 31789 Map It | ||||||||||||
| 2025-80356663 | 07/30/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Payment Sent | 07/29/2026 | 07/29/2026 | James Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180e | WC.UA-026873 | 07/29/2026 |  | $200.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Acord Construction | (229) 347-7359 | Email hidden; Javascript is required. | acord construction 1065 Douthit RD Sylvester, Georgia 31791 Map It | acord construction 1065 Douthit RD Sylvester, Georgia 31791 Map It | ||||||||||||||||||
| 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 |
