| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-95714773 | 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-119985 | 09/15/2026 | OWENS-3865_1899_260917080822_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 | 3865 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3865_1899_260917080822_0011.pdf | |||||||||||||||||
| 2025-68038356 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-024183 | 09/15/2026 | OWENS-362_1901_260917080931_001.pdf | $200.00 | 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 | 362 Barryfield Hahira, Georgia 31632 Map It | OWENS-362_1901_260917080931_0011.pdf | |||||||||||||||||
| 2025-44156460 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WD.UA-038723 | 09/15/2026 | OWENS-366_1902_260917080956_001.pdf | $200.00 | 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 | 366 Barryfield Hahira, Georgia 31632 Map It | OWENS-366_1902_260917080956_0011.pdf | |||||||||||||||||
| 2025-76428813 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-024182 | 09/15/2026 | OWENS-314_1903_260917081019_001.pdf | $200.00 | 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. | 2310 US Hwy 84 West Suite B Valdosta, Georgia 31601 Map It | 314 Barryfield Hahira, Georgia 31632 Map It | OWENS-314_1903_260917081019_0011.pdf | |||||||||||||||||
| 2025-38794324 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 08/19/2026 | 08/19/2026 | Zach Adams | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-027978 | 08/19/2026 | OWENS-3889_1904_260917081052_001.pdf | $200.00 | 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 | 3889 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3889_1904_260917081052_0011.pdf | |||||||||||||||||
| 2025-58975535 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 08/19/2026 | 08/19/2026 | Zach Adams | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-027986 | 08/19/2026 | OWENS-3893_1905_260917081119_001.pdf | $200.00 | 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 | 3893 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3893_1905_260917081119_0011.pdf | |||||||||||||||||
| 2025-66538532 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 08/19/2026 | 08/19/2026 | Zach Adams | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-027980 | 08/19/2026 | OWENS-3885_1906_260917081150_001.pdf | $200.00 | 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 | 3885 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3885_1906_260917081150_0011.pdf | |||||||||||||||||
| 2025-32991364 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 08/19/2026 | 08/19/2026 | Zach Adams | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | WC.UA-027985 | 08/19/2026 | OWENS-3881_1907_260917081215_001.pdf | $200.00 | 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 | 3881 Duchess Court Valdosta, Georgia 31605 Map It | OWENS-3881_1907_260917081215_0011.pdf | |||||||||||||||||
| 2025-84361842 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 08/19/2026 | 08/19/2026 | Cole Truett | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE199eP | WE.UA-056919 | 08/19/2026 | MONTES-3005_1908_260917081256_001.pdf | $200.00 | 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 | Tamara Montes | (305) 508-8674 | Email hidden; Javascript is required. | 3005 Stallings Road Valdosta, Georgia 31605 Map It | 3005 Stallings Road Valdosta, Georgia 31605 Map It | MONTES-3005_1908_260917081256_0011.pdf | |||||||||||||||||
| 2025-19251263 | 09/17/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Payment Sent | 09/14/2026 | 09/14/2026 | Richard McCranie | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | WF.UA-064156 | 09/14/2026 | ACCELERATED_1900_260917080858_001.pdf | $200.00 | 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 | Accelerated Builders | (229) 256-5996 | Email hidden; Javascript is required. | 505 S Church St #6 Suite B Hahira, Georgia 31632 Map It | 505 S Church St #6 Suite B Hahira, Georgia 31632 Map It | ACCELERATED_1900_260917080858_0011.pdf | |||||||||||||||||
| 2025-86083652 | 09/17/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 09/15/2026 | 09/15/2026 | ROYCE HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | TL.UA-159897 | 09/15/2026 | VENTULETT.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 | JAY VENTULETT | (229) 347-6720 | 2512 WESTGATE DR # 5 ALBANY, Georgia 31721 Map It | 2512 WESTGATE DR # 5 ALBANY, Georgia 31721 Map It | VENTULETT1.pdf | ||||||||||||||||||
| 2025-22583567 | 09/17/2026 | HAROLDS PROPANE | HAROLD CAWTHON | (770) 775-4821 | Email hidden; Javascript is required. | Payment Sent | 09/14/2026 | 09/14/2026 | keith thompson | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RHEEM | PROG40-32PRH62 | Q492504736 | 09/14/2026 | Scan_20260917-3.pdf | $200.00 | HAROLDS PROPANE | HC HAROLD CAWTHON | P.O.BOX 219 162 stark rd. Jackson, Georgia 30233 Map It | Email hidden; Javascript is required. | (770) 775-4821 | KENNETH SHIVERS | (770) 468-8445 | 515 S WALKERS MILL RD GRIFFIN, Georgia 30223 Map It | 515 S WALKERS MILL RD GRIFFIN, Georgia 30223 Map It | Scan_20260917-31.pdf | ||||||||||||||||||
| 2025-20977351 | 09/17/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/16/2026 | 09/16/2026 | Alvin Wilcox | New Construction | $400.00 | 1 | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP199iP | TJBA211693 | 09/16/2026 | img09172026_0050.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Charles Anderson | (706) 889-4756 | Email hidden; Javascript is required. | PO BOX 371 Blairsville, Georgia 30512 Map It | 443 Paradise Ln Blairsville, Georgia 30512 Map It | Charles Anderson | ||||||||||||||||||
| 2025-31493433 | 09/17/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/16/2026 | 09/16/2026 | Alvin Wilcox | New Construction | $400.00 | 1 | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP199iP | TJBA211692 | 09/16/2026 | img09172026_0005.pdf | $400.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Charles Anderson | (706) 889-4756 | Email hidden; Javascript is required. | PO BOX 371 Blairsville, Georgia 30512 Map It | 27 Sterling Bridge Rd Lot #112 Blairsville, Georgia 30512 Map It | Charles Anderson | ||||||||||||||||||
| 2025-95028154 | 09/17/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Payment Sent | 09/08/2026 | 09/08/2026 | DANIEL SIKES | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199e | TL.UA-164965 | 09/08/2026 | HPSCAN_2026091718500297_2026-09-17_185051110-1-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 | DYLAN HUTCHINSON | (912) 326-1862 | 3441 ZOAR RD BAXLEY, Georgia 31513 Map It | 3441 ZOAR RD BAXLEY, Georgia 31513 Map It | HPSCAN_2026091718500297_2026-09-17_185051110-1-compressed1.pdf | ||||||||||||||||||
| 2025-68874121 | 09/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/14/2026 | 09/14/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Fridigare | PCFG3080AFH | VF63464786 | 09/14/2026 | img09182026_0005.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Lindsey Dumas | (843) 368-9774 | Email hidden; Javascript is required. | 257 Dogwood Ct. Ellijay, Georgia 30540 Map It | 257 Dogwood Ct. Ellijay, Georgia 30540 Map It | img09182026_00051.pdf | |||||||||||||||||
| 2025-91709239 | 09/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/17/2026 | 09/17/2026 | Fernando Sordo | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | Trab | NV | NV | 09/17/2026 | img09182026_0006.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Bradford | MITW50L6CX12 | WD9241920 | 09/17/2026 | img09182026_00061.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Peggy Davis | (404) 316-6937 | 1900 Dixie Way Madison, Georgia 30650 Map It | 120 Rogers Ln Blairsville, Georgia 30512 Map It | n/a | |||||||||||||
| 2025-33906854 | 09/21/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Payment Sent | 09/09/2026 | 09/09/2026 | DANIEL SIKES | Replacement or New Appliance | $250.00 | 2 | Replacement Installation | Cooktop ($50.00) | FRIGIDAIRE | FRGCFG3070BF | VF52801870 | 09/09/2026 | HPSCAN_20260921202352327_2026-09-21_202510110-compressed.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180e | WC.UA-028776 | 09/09/2026 | HPSCAN_20260921202352327_2026-09-21_202510110-compressed1.pdf | $250.00 | SIKES PROPANE INC | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | APPLING BLUEBERRY FARMS | (912) 278-9142 | 4312 LAKE MAYERS RD BAXLEY, Georgia 31513 Map It | 4312 LAKE MAYERS RD BAXLEY, Georgia 31513 Map It | HPSCAN_20260921202352327_2026-09-21_202510110-compressed2.pdf | ||||||||||||
| 2025-56140517 | 09/22/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 09/01/2026 | 09/01/2026 | Taylor Newsome | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | TL.UA-163720 | 09/01/2026 | 0083_260922091850_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 | Jeff Faircloth | (229) 891-7616 | Email hidden; Javascript is required. | 1748 Hopewell Church Rd Moultrie, Georgia 31768 Map It | 827 Bonnie Tuk RD Moultrie, Georgia 31768 Map It | 0083_260922091850_0011.pdf | |||||||||||||||||
| 2025-25308709 | 09/22/2026 | Conger LP Gas | Darby Greene | (912) 208-8000 | Email hidden; Javascript is required. | Payment Sent | 09/01/2026 | 09/01/2026 | terry white | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | rinnai | REP199iP | tm.ua-171725 | 09/01/2026 | 1242_260921235215_001.pdf | $400.00 | Conger LP Gas | Darby Greene | 600 Main St Ste 102 Blackshear, Georgia 31516 Map It | Email hidden; Javascript is required. | (912) 208-8000 | joe archaimbault | (469) 328-6839 | Email hidden; Javascript is required. | 5577 strickland rd waycross, Georgia 31503 Map It | 5577 strickland rd waycross, Georgia 31503 Map It | 1242_260921235215_0011.pdf | |||||||||||||||||
| 2025-72381363 | 09/22/2026 | Conger LP Gas | Darby Greene | (912) 208-8000 | Email hidden; Javascript is required. | Processing | 09/01/2026 | 09/01/2026 | ERIC P | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNIA | RE180E | TL.UA-163691 | 09/01/2026 | $200.00 | Conger LP Gas | Darby Greene | 600 Main St Ste 102 Blackshear, Georgia 31516 Map It | Email hidden; Javascript is required. | (912) 208-8000 | DARRELL HAAS | (912) 552-4905 | Email hidden; Javascript is required. | 783 Kings Bay Rd Waverly, Georgia 31569 Map It | 783 Kings Bay Rd Waverly, Georgia 31569 Map It | 1243_260922024408_0011.pdf | ||||||||||||||||||
| 2025-64877433 | 09/23/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/18/2026 | 09/18/2026 | Dillon Payne | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rheem | RIG74PVP2 | RHLP0707900422 | 09/18/2026 | img09232026_0012.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Application Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Howard Hoke | (910) 603-7605 | Email hidden; Javascript is required. | 205 Village View Dr West End, North Carolina 37275 Map It | 262 Havenwood Blairsville, Georgia 30512 Map It | n/a | ||||||||||||||||||
| 2025-10893717 | 09/23/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/22/2026 | 09/22/2026 | Owen Dills | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | Rx199i | JM.BA-284270 | 09/22/2026 | img20260923_12023068.pdf | $200.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Bill Pankevich | (706) 604-5830 | 190 Valley View Drive Maysville, Georgia 30588 Map It | 190 Valley View Drive Maysville, Georgia 30588 Map It | N/A | |||||||||||||||||||
| 2025-41767771 | 09/23/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 09/21/2026 | 09/21/2026 | Fernando Sordo | New Construction | $50.00 | 1 | Cooktop ($50.00) | Zline | RA36 | RA36GE26050061CN09 | 09/21/2026 | img09232026_0013.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4 Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Shahab Fard Renovation Spot LLC | (229) 834-2320 | Email hidden; Javascript is required. | 140 Progress Court Suite 7 Blue Ridge, Georgia 30513 Map It | Big Valley Dr Lot #55 Morganton, Georgia 30560 Map It | n/a | ||||||||||||||||||
| 2025-48002341 | 09/23/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 09/22/2026 | 09/22/2026 | Kevin Smoot | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE199c | WA.UA-006489 | 09/22/2026 | img20260923_13190803.pdf | $200.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | David Barnes | (229) 869-2911 | 1709 Tugalo Drive Jefferson, Georgia 30549 Map It | 1709 Tugalo Drive Jefferson, Georgia 30549 Map It | N/A | |||||||||||||||||||
| 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 |
