| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-91196307 | 09/11/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 09/11/2026 | 09/11/2026 | ROBERT COTHREN | Replacement or New Appliance | $200.00 | 1 | Conversion | Propane-Fueled Non-Recirculating Water Heater ($200.00) | rinnai | re180ep | wc.ua-025694 | 09/11/2026 | VERDIE-WOREK.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 | verdie worek | (229) 256-3754 | 4281 us 319 tifton, Georgia 31793 Map It | 4281 us 319 tifton, Georgia 31793 Map It | VERDIE-WOREK1.pdf | ||||||||||||||||||
| 2025-38760922 | 09/11/2026 | Franklin Propane Gas, Inc. | Mike Franklin | (478) 552-6667 | Email hidden; Javascript is required. | Payment Sent | 09/11/2026 | 09/11/2026 | Jonathan Franklin | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | WH.UA-094887 | 09/11/2026 | JOHN-JONES-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 | John Jones | (478) 232-2245 | Email hidden; Javascript is required. | 2050 Hwy 102 Warthen, Georgia 31094 Map It | 2050 Hwy 102 Warthen, Georgia 31094 Map It | JOHN-JONES-REBATE1.pdf | |||||||||||||||||
| 2025-82005252 | 09/14/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/09/2026 | 09/09/2026 | Matthew Ray | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | RXP199 | TL.BA-267403 | 09/09/2026 | 2750-PRINCE_1851_260914081505_001.pdf | $400.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 West Valdosta, Georgia 31601 Map It | Email hidden; Javascript is required. | (229) 469-4250 | Owen Prince | (229) 300-3707 | Email hidden; Javascript is required. | 2750 Old Clyattville Valdosta, Georgia 31601 Map It | 2750 Old Clyattville Valdosta, Georgia 31601 Map It | 2750-PRINCE_1851_260914081505_0011.pdf | |||||||||||||||||
| 2025-41035879 | 09/14/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/04/2026 | 09/04/2026 | TY BROWN | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | GE | GP50T08BXR01 | RA602576C | 09/04/2026 | DAVIS.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 | SHELLY DAVIS | (229) 435-8056 | 2709 DAVENPORT DR ALBANY, Georgia 31721 Map It | 2709 DAVENPORT DR ALBANY, Georgia 31721 Map It | DAVIS1.pdf | ||||||||||||||||||
| 2025-72833849 | 09/14/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/08/2026 | 09/08/2026 | RICKY JARRELL | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RL75EP | PC.CA-038681 | 09/08/2026 | ROBINSON.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 | APRIL ROBINSON | (229) 395-9921 | 366 WILLOW LAKE DR LEESBURG, Georgia 31763 Map It | 366 WILLOW LAKE DR LEESBURG, Georgia 31763 Map It | ROBINSON1.pdf | ||||||||||||||||||
| 2025-33664254 | 09/14/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/01/2026 | 09/01/2026 | BRYTON & EMILY MAYNARD | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160IP | WD.UA-041795 | 09/01/2026 | MAYNARD.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 | BRYTON & EMILY MAYNARD | (252) 515-4397 | 196 FOWLER DR LEESBURG, Georgia 31763 Map It | 196 FOWLER DR LEESBURG, Georgia 31763 Map It | MAYNARD1.pdf | ||||||||||||||||||
| 2025-78485339 | 09/14/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/09/2026 | 09/09/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | WC.UA-029237 | 09/09/2026 | SF-RENTAL.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 | SF RENTAL | (229) 886-7094 | 781 MACEDONIA RD DAWSON, Georgia 39842 Map It | 781 MACEDONIA RD DAWSON, Georgia 39842 Map It | SF-RENTAL1.pdf | ||||||||||||||||||
| 2025-87011280 | 09/14/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/08/2026 | 09/08/2026 | TY BROWN | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RL94IP | PF.CA-088956 | 09/08/2026 | DOUBLEGATE-HOMES.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 | DOUBLEGATE HOMES | (229) 376-2624 | 109 CROSSLAKE DR ALBANY, Georgia 31763 Map It | 109 CROSSLAKE DR ALBANY, Georgia 31763 Map It | DOUBLEGATE HOMES | |||||||||||||||||||
| 2025-13871783 | 09/15/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Processing | 09/11/2026 | 09/11/2026 | Owen Dills | New Construction | $50.00 | 1 | Cooktop ($50.00) | Bosch | 00634737 | 8001216823 | 09/11/2026 | img20260915_10011082.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Clay Foster | (850) 380-7721 | 493 Canaan Drive Maysville, Georgia 30558 Map It | 493 Canaan Drive Maysville, Georgia 30558 Map It | N/A | |||||||||||||||||||
| 2025-55529744 | 09/16/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/04/2026 | 09/04/2026 | TY BROWN | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | NAVIEN | NPE-180-52 | 2080U253075 | 09/04/2026 | CAWTHON.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 | FRANK CAWTHON | (407) 925-2667 | 1266 GLEATON RD WARWICK, Georgia 31796 Map It | 1266 GLEATON RD WARWICK, Georgia 31796 Map It | FRANK CAWTHON | |||||||||||||||||||
| 2025-61906314 | 09/16/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/09/2026 | 09/09/2026 | DAVID TIMMERMAN | Replacement or New Appliance | $50.00 | 1 | Replacement Installation | Dryer ($50.00) | GE | PDT60GSBSRWS | MD812478C | 09/09/2026 | TIMMERMAN.pdf | $50.00 | MODERN GAS COMPANY | MARK HOLLOWAY | 1335 US HWY 82 EST LEESBURG, Georgia 31763 Map It | Email hidden; Javascript is required. | (229) 435-6116 | DAVID TIMMERMAN | (229) 407-0713 | 5007 GRANDVIEW DR ALBANY, Georgia 31721 Map It | 5007 GRANDVIEW DR ALBANY, Georgia 31721 Map It | TIMMERMAN1.pdf | ||||||||||||||||||
| 2025-70094845 | 09/16/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/09/2026 | 09/09/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | WE.UA-052054 | 09/09/2026 | GOFF.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 | STEVE & JERRI GOFF | (229) 881-4215 | 1022 FLOURNOY ROAD WARWICK, Georgia 3176 Map It | 1022 FLOURNOY ROAD WARWICK, Georgia 3176 Map It | GOFF1.pdf | ||||||||||||||||||
| 2025-81620490 | 09/16/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | TY BROWN | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180IP | TM.UA-176000 | 09/15/2026 | FREEMAN.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 | FREEMAN CONSTRUCTION | (229) 869-2351 | 241 PARTRIDGE DR LEESBURG, Georgia 31763 Map It | 241 PARTRIDGE DR LEESBURG, Georgia 31763 Map It | FREEMAN CONSTRUCTION | |||||||||||||||||||
| 2025-48868873 | 09/16/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/04/2026 | 09/04/2026 | Alvin Wilxon | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Tempstar | EAM5X37M17A1E | J2521114161 | 09/04/2026 | img09162026_0011.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | David Kelley | (678) 544-1241 | Email hidden; Javascript is required. | 537 Homer Right Rd Talking Rock, Georgia 30175 Map It | 155 Black Bear Rd Ellijay, Georgia 30536 Map It | n/a | ||||||||||||||||||
| 2025-86629223 | 09/16/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/08/2026 | 09/08/2026 | Fernando Sordo | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | Carrier | 58MDEB06010112 | 3206A05243 | 09/08/2026 | img09162026_0015.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | American Waqter Heater | PVG6240T503PV | 0530103380 | 09/08/2026 | img09162026_00151.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Shaun Collins | (832) 851-4636 | Email hidden; Javascript is required. | 2501 Bill Moses Parkway Unit 327 Farmers Branch, Texas 75234 Map It | 767 Bevan Ln East Blue Ridge, Georgia 30513 Map It | n/a | ||||||||||||
| 2025-48384825 | 09/16/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/09/2026 | 09/09/2026 | Alvin Wilxon | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Samsung | NX6CA6511551AA | 054V70AL600469R | 09/09/2026 | img09162026_0016.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway 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 | img09162026_00161.pdf | |||||||||||||||||
| 2025-81007765 | 09/16/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/04/2026 | 09/04/2026 | Brandon Payne | New Construction | $250.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Dimdford White | RTGR199XL | P2200024964 | 09/04/2026 | img09162026_0008.pdf | Cooktop ($50.00) | Fame | 25060035 | FF5G56197 | 09/04/2026 | img09162026_0007.pdf | $250.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Austin Vest | (706) 851-5836 | Email hidden; Javascript is required. | 257 East Main St Suite B Blue Ridge, Georgia 30513 Map It | 66 Mountain Top Cir Blue Ridge, Georgia 30513 Map It | Marc Nicholson | ||||||||||||
| 2025-61746571 | 09/16/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | Kevin Smoot | New Construction | $50.00 | 1 | Cooktop ($50.00) | KitchenAid | KCGC5585SS02 | DE4101199 | 09/15/2026 | img20260916_11283965.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Olga Beasley | (470) 540-0742 | 832 Walnut River Trail Hoschton, Georgia 30548 Map It | 832 Walnut River Trail Hoschton, Georgia 30548 Map It | N/A | |||||||||||||||||||
| 2025-27887310 | 09/16/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 08/27/2026 | 08/27/2026 | Caleb Harnage | Replacement or New Appliance | $400.00 | 2 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | TM.UA-174277 | 08/27/2026 | REBATE-A.JONES-57754.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | TM.UA-172394 | 08/27/2026 | $400.00 | Barfield Gas Company | Michael Davis | PO BOX 990 PO BOX 990 Adel, Georgia 31620 Map It | Email hidden; Javascript is required. | (229) 896-4828 | ARON JONES | (229) 539-3264 | 4534 DAVIS RD VALDOSTA, Georgia 31601 Map It | 4534 DAVIS RD VALDOSTA, Georgia 31601 Map It | REBATE-A.JONES-577543.pdf | |||||||||||||
| 2025-93112838 | 09/16/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Payment Sent | 09/03/2026 | 09/03/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WC.UA-026408 | 09/03/2026 | REBATE-J.WARREN-58226.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 | JODY WARREN | (229) 561-7507 | 277 SELLARS RD HAHIRA, Georgia 31632 Map It | 277 SELLARS RD HAHIRA, Georgia 31632 Map It | REBATE-J.WARREN-582261.pdf | ||||||||||||||||||
| 2025-19745786 | 09/16/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Payment Sent | 09/10/2026 | 09/10/2026 | DANIEL SIKES | Replacement or New Appliance | $300.00 | 3 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE140e | WD.UA-036818 | 09/10/2026 | HPSCAN_2026091620430118_2026-09-16_204404532-compressed.pdf | Dryer ($50.00) | AMANA | NGD4655EW4 | MF1506391 | 09/10/2026 | HPSCAN_2026091620430118_2026-09-16_204404532-compressed1.pdf | Cooktop ($50.00) | FRIGIDAIRE | FCRG3062ASM | VF63457163 | 09/10/2026 | HPSCAN_2026091620430118_2026-09-16_204404532-compressed2.pdf | $300.00 | SIKES PROPANE INC | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | TOMMY DANIELS | (912) 278-9672 | 237 LIVE OAK LANE BAXLEY, Georgia 31513 Map It | 237 LIVE OAK LANE BAXLEY, Georgia 31513 Map It | HPSCAN_2026091620430118_2026-09-16_204404532-compressed3.pdf | ||||||
| 2025-68611545 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | Matthew Ray | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP160eP | PL.UA-119988 | 09/15/2026 | OWENS-3977_1896_260917080654_001.pdf | $400.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 West 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 | 3977 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3977_1896_260917080654_0011.pdf | |||||||||||||||||
| 2025-27540159 | 09/17/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/02/2026 | 09/02/2026 | CURTIS HUNTER | Replacement or New Appliance | $400.00 | 1 | New Installation | Propane-Fueled Recirculating Water Heater ($400.00) | RINNAI | RXP199 | WB.BA-018037 | 09/02/2026 | SCOTT.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 | ADAM & TANYA SCOTT | (229) 894-0501 | 106 LAUREL DRIVE ALBANY, Georgia 31721 Map It | 106 LAUREL DRIVE ALBANY, Georgia 31721 Map It | SCOTT1.pdf | ||||||||||||||||||
| 2025-98337163 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | Matthew Ray | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP160eP | PL.UA-119990 | 09/15/2026 | OWENS-3873_1897_260917080726_001.pdf | $400.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 West 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 | 3873 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3873_1897_260917080726_0011.pdf | |||||||||||||||||
| 2025-63585981 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/14/2026 | 09/14/2026 | Matthew Ray | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP160eP | PL.UA-119986 | 09/14/2026 | OWENS-3869_1909_260917081953_001.pdf | $400.00 | Conger LP Gas | Richard McCranie | 2310 US Hwy 84 West 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 | 3869 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3869_1909_260917081953_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 |
