| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-18745305 | 07/30/2026 | Conger LP | Debora Simning | (229) 776-7336 | Email hidden; Javascript is required. | Payment Sent | 07/02/2026 | 07/02/2026 | Greg Bridges | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE199e | WD.UA-046254 | 07/02/2026 |  | $200.00 | Conger LP | Debora Simning | 306 S Main St Sylvester, Georgia 31791 Map It | Email hidden; Javascript is required. | (229) 776-7336 | Covey Rise Construction | (229) 336-8600 | Email hidden; Javascript is required. | Covey Rise 3929 River Rd camilla, Georgia 31730 Map It | Covey Rise 3929 River Rd camilla, Georgia 31730 Map It | ||||||||||||||||||
| 2025-28505242 | 07/30/2026 | Franklin Propane Gas, Inc. | Mike Franklin | (478) 552-6667 | Email hidden; Javascript is required. | Payment Sent | 07/30/2026 | 07/30/2026 | Jonathan Franklin | Replacement or New Appliance | $600.00 | 2 | New Installation | Propane furnace, or gas pack ($400.00) | Trane | 5YCC4036A1090AA | 2539364FA | 07/30/2026 | Giddens-Rebate-Form.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180E | WD.UA-048424 | 07/30/2026 | Giddens-Rebate-Form1.pdf | $600.00 | Franklin Propane Gas Inc. | Mike Franklin | P O Box 5890 Sandersville, Georgia 31082 Map It | Email hidden; Javascript is required. | (478) 552-6667 | Elaine Giddens | (478) 232-7937 | 213 W Church St Sandersville, Georgia 31082 Map It | 10951 Hwy 15 N Warthen, Georgia 31094 Map It | Giddens-Rebate-Form2.pdf | ||||||||||||
| 2025-55819546 | 07/30/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/20/2026 | 07/20/2026 | Matthew Ray | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | TE.BA-101570 | 07/20/2026 | WILLIAMS-1265_1454_260730143850_001.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 | John Randy Williams | (904) 237-4584 | Email hidden; Javascript is required. | 1265 Lone Star School Road Adel, Georgia 31620 Map It | 1265 Lone Star School Road Adel, Georgia 31620 Map It | WILLIAMS-1265_1454_260730143850_0011.pdf | |||||||||||||||||
| 2025-32807992 | 07/31/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/29/2026 | 07/29/2026 | Brandon Payne | New Construction | $600.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnia | Reunb202ffus | Tgba175420 | 07/29/2026 | img07312026_0010.pdf | Propane furnace, or gas pack ($400.00) | Trane | X1B060UPS | 26063uuljg | 07/29/2026 | img07312026_0009.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 Dittman | (706) 455-2999 | Email hidden; Javascript is required. | 303 Indian Trail Mccaysville, Georgia 30555 Map It | 303 Indian Trail Mccaysville, Georgia 30555 Map It | Brian Dittman | ||||||||||||
| 2025-99337351 | 07/31/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/28/2026 | 07/28/2026 | Brandon Payne | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | REUVC252BFFUDUSA | PACA108431 | 07/28/2026 | img07312026_0012.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Jermey Herendon dba Hernendon Homes | (770) 634-1498 | Email hidden; Javascript is required. | 41 Red Oad Ct Blue Ridge, Georgia 30513 Map It | 357 Spring Ridge Morganton, Georgia 30560 Map It | Jermey Herendon | ||||||||||||||||||
| 2025-45882719 | 07/31/2026 | Franklin Propane Gas, Inc. | Mike Franklin | (478) 552-6667 | Email hidden; Javascript is required. | Payment Sent | 07/31/2026 | 07/31/2026 | Jonathan Franklin | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | WD.UA-048420 | 07/31/2026 | Yelvington-Rebate-Form.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160EP | TL.UA-159877 | 07/31/2026 | Yelvington-Rebate-Form1.pdf | $400.00 | Franklin Propane Gas Inc. | Mike Franklin | PO Box 5890 Sandersville, Georgia 31082 Map It | Email hidden; Javascript is required. | (478) 552-6667 | Robert Yelvington | (863) 698-0451 | Email hidden; Javascript is required. | 5343 N Galloway Rd Lakeland, Florida 33810 Map It | 950 Jonah Hall Rd Wrightsville, Georgia 31096 Map It | N/A | ||||||||||||
| 2025-93253414 | 07/31/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 07/30/2026 | 07/30/2026 | Kevin Smoot | New Construction | $50.00 | 1 | Cooktop ($50.00) | Samsung | NX60A651155/AA | 054V7DAL101117T | 07/30/2026 | img20260731_13091113.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Ismael Lopez | (706) 982-1305 | 4525 Wayne Poultry Road Pendergrass, Georgia 30567 Map It | 4525 Wayne Poultry Road Pendergrass, Georgia 30567 Map It | N/A | |||||||||||||||||||
| 2025-95876371 | 07/31/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/30/2026 | 07/30/2026 | Alvin Wilcox | New Construction | $50.00 | 1 | Cooktop ($50.00) | Wolf | 486500 | 28025549 | 07/30/2026 | img07312026_0024.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Victor Bautista | (706) 851-7328 | Email hidden; Javascript is required. | 76 Hemptown Overlook Morganton, Georgia 30560 Map It | 76 Hemptown Overlook Morganton, Georgia 30560 Map It | n/a | ||||||||||||||||||
| 2025-38094800 | 07/31/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/30/2026 | 07/30/2026 | Brandon Payne | New Construction | $50.00 | 1 | Cooktop ($50.00) | GE | B2596BSEK255 | TL256432Q | 07/30/2026 | img07312026_00241.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | William Bruce | (941) 700-7566 | Email hidden; Javascript is required. | 15112 21st Ave E Bradenton, Florida 34212 Map It | 119 Hidden Acres Mineral Bluff, Georgia 30559 Map It | n/a | ||||||||||||||||||
| 2025-98132348 | 07/31/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/28/2026 | 07/28/2026 | Dillon Payne | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Train | N92MSN1002120A | A253760147 | 07/28/2026 | img07312026_0026.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Derrick Welch | (706) 455-6535 | Email hidden; Javascript is required. | 255 River Dr. Mineral Bluff, Georgia 30559 Map It | 255 River Dr. Mineral Bluff, Georgia 30559 Map It | n/a | ||||||||||||||||||
| 2025-24552819 | 07/31/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/29/2026 | 07/29/2026 | Alvin Wilcox | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navian | NPE290A2 | 208762590669115 | 07/29/2026 | img07312026_0027.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Mark Auger | (706) 889-2480 | Email hidden; Javascript is required. | 91 Lamberts Way Alpheretta, Georgia 30005 Map It | 17 Pinholti Pass Ellijay, Georgia 30540 Map It | img07312026_00271.pdf | |||||||||||||||||
| 2025-47095425 | 07/31/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 07/28/2026 | 07/28/2026 | Alvin Wilcox | New Construction | $50.00 | 1 | Cooktop ($50.00) | Whirlpool | WSR5453720 | RE5110026 | 07/28/2026 | img07312026_0028.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Keith Reestar | (706) 455-0199 | Email hidden; Javascript is required. | 1365 George W. Brumley Way SE Atlanta, Georgia 30317 Map It | 95 Oak Cliff Ln Morganton, Georgia 30560 Map It | n/a | ||||||||||||||||||
| 2025-46414886 | 07/31/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 07/31/2026 | 07/31/2026 | Kevin Smoot | New Construction | $50.00 | 1 | Cooktop ($50.00) | Whirlpool | WCGK5030P500 | DD4201029 | 07/31/2026 | img20260731_16233046.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Whitney Alverson | (706) 207-6583 | 2020 Cotfelter Road Bogart, Georgia 30622 Map It | 2020 Cotfelter Road Bogart, Georgia 30622 Map It | N/A | |||||||||||||||||||
| 2025-18680976 | 08/03/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 07/28/2026 | 07/28/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WE.UA-057018 | 07/28/2026 | REBATE-M.MUSSER-58100.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 | MARK MUSSER | (412) 309-1504 | 1640 COMMUNITY CHURCH RD ADEL, Georgia 31620 Map It | 1640 COMMUNITY CHURCH RD ADEL, Georgia 31620 Map It | REBATE-M.MUSSER-581001.pdf | ||||||||||||||||||
| 2025-65106542 | 08/03/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 07/30/2026 | 07/30/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE140eP | WA.UA-009078 | 07/30/2026 | REBATE-S.LOGAN-58130.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 | SHIRLEY LOGAN | (229) 896-3488 | 698 JOHN CROSBY RD ADEL, Georgia 31620 Map It | 698 JOHN CROSBY RD ADEL, Georgia 31620 Map It | REBATE-S.LOGAN-581301.pdf | ||||||||||||||||||
| 2025-41320459 | 08/04/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 07/29/2026 | 07/29/2026 | Matthew Ray | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | WF.UA-064168 | 07/29/2026 | PREMIERE-5048_1482_260803145316_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 | 5048 Hatfield Circle Hahira, Georgia 31632 Map It | PREMIERE-5048_1482_260803145316_0011.pdf | |||||||||||||||||
| 2025-80990792 | 08/04/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 08/03/2026 | 08/03/2026 | ROBERT COTHREN | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TH.UA-121334 | 08/03/2026 | JEFF-SUMNER.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TH.UA-121332 | 08/03/2026 | JEFF-SUMNER1.pdf | $400.00 | 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 | JEFF SUMNER | (229) 848-7322 | 2809 WHIDDON MILL RD TIFTON, Georgia 31793 Map It | 2809 WHIDDON MILL RD TIFTON, Georgia 31793 Map It | SELF | |||||||||||||
| 2025-49825530 | 08/04/2026 | Partners Propane of Ga Inc | Kim Ogan | (229) 649-4040 | Email hidden; Javascript is required. | Payment Sent | 07/24/2026 | 07/23/2026 | Luke Ogan | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RHEEM | PROG40S-31PRH62 | 0382509015 | 07/24/2026 | Cynthia-Thomas_0001.pdf | $200.00 | PARTNERS PROPANE GA | JAN WHITLEY | 206 W 6TH AVE BUENA VISTA, Georgia 31803 Map It | Email hidden; Javascript is required. | (229) 649-4040 | CYNTHIA THOMAS | (229) 649-8440 | Email hidden; Javascript is required. | 2673 PINEVILLE RD BUENA VISTA, Georgia 31803 Map It | 2673 PINEVILLE RD BUENA VISTA, Georgia 31803 Map It | Cynthia-Thomas_00011.pdf | |||||||||||||||||
| 2025-96633803 | 08/04/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 08/03/2026 | 08/03/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE140eP | WD.UA-036820 | 08/03/2026 | REBATE-NORTHBRIDGE-58139-.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 | NORTH BRIDGE CHURCH NORTH BRIDGE CHURCH | (229) 563-3147 | 5458 HWY 41 HAHIRA, Georgia 31632 Map It | 5458 HWY 41 HAHIRA, Georgia 31632 Map It | REBATE-NORTHBRIDGE-58139-1.pdf | ||||||||||||||||||
| 2025-74018675 | 08/04/2026 | PARTNERS PROPANE OF GA INC. | AMANDA ALBRITTON | (478) 862-4644 | Email hidden; Javascript is required. | Payment Sent | 08/04/2026 | 08/04/2026 | AJ ROBINSON | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199E | WD US-047198 | 08/04/2026 | BUTLER_20260721_0001.pdf | $200.00 | PARTNERS PROPANE OF GA | AMANDA ALRITTON | PO BOX 277 BUTLER, Georgia 31006 Map It | Email hidden; Javascript is required. | (478) 862-4644 | BOBBY BAZEMORE | (478) 862-2996 | PO BOX 2216 BUTLER, Georgia 31006 Map It | 18 BROWN CIR BUTLER, Georgia 3106 Map It | BUTLER_20260721_00011.pdf | ||||||||||||||||||
| 2025-97217664 | 08/05/2026 | Fitzgerald Utilities | Cecilia Smith | (229) 426-5440 | Email hidden; Javascript is required. | Payment Sent | 08/04/2026 | 07/31/2026 | CHRIS WOODS | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX180i | SJ.BA 151745 | 08/04/2026 | C-GIBBS_0001.pdf | $200.00 | FITZGERALD UTILITIES | JUSTIN SUMNER | P.O. BOX 667 122 N MAIN STREET FITZGERALD, Georgia 31750 Map It | Email hidden; Javascript is required. | (229) 426-5440 | CASEY GIBBS | (229) 392-5418 | 309 ALAPAHA HWY OCILLA, Georgia 31774 Map It | 309 ALAPAHA HWY OCILLA, Georgia 31774 Map It | C-GIBBS_00011.pdf | ||||||||||||||||||
| 2025-99219037 | 08/05/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 07/22/2026 | 07/22/2026 | TY BROWN | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | WC.UA-023176 | 07/22/2026 | OLSON.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 | OLSON DESIGN | (229) 343-7858 | 304 HAWKSTEAD DR LEESBURG, Georgia 31763 Map It | 304 HAWKSTEAD DR LEESBURG, Georgia 31763 Map It | OLSEN DESIGN | |||||||||||||||||||
| 2025-18562661 | 08/05/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 07/16/2026 | 07/16/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX160IN/P | TJ.BA-211385 | 07/16/2026 | GRIFFIN.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 | JIMMY GRIFFIN | (984) 232-4641 | 5118 FLINT ROAD CAMILLA, Georgia 31730 Map It | 5118 FLINT ROAD CAMILLA, Georgia 31730 Map It | GRIFFIN1.pdf | ||||||||||||||||||
| 2025-88961330 | 08/05/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 07/14/2026 | 07/14/2026 | ROYCE HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX160IN/P | TK.BA-253362 | 07/14/2026 | ESCO.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 | JIM ESCO | (229) 343-2251 | 2224 PENDLETON ST ALBANY, Georgia 31721 Map It | 2224 PENDLETON ST ALBANY, Georgia 31721 Map It | ESCO1.pdf | ||||||||||||||||||
| 2025-77547063 | 08/05/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 07/18/2026 | 07/18/2026 | MIKE BURLESON | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RL75EP | PC.CA-036505 | 07/18/2026 | THOMAS.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 | BRETT THOMAS | (252) 287-0583 | 392 CHILDERS RD SMITHVILLE, Georgia 31787 Map It | 392 CHILDERS RD SMITHVILLE, Georgia 31787 Map It | THOMAS1.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 |
