| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-51208527 | 09/29/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Processing | 09/11/2026 | 09/11/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WE.UA-057655 | 09/11/2026 | REBATE-B.STONE-58245.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 | BRIAN STONE | (229) 896-2336 | 5303 NEW BETHEL VALDOSTA, Georgia 31601 Map It | 5303 NEW BETHEL VALDOSTA, Georgia 31601 Map It | REBATE-B.STONE-582451.pdf | ||||||||||||||||||
| 2025-13062938 | 09/29/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Processing | 09/15/2026 | 09/15/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WF.UA-073026 | 09/15/2026 | REBATE-D.TAYLOR-58249.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 | DIXON TAYLOR | (229) 506-0082 | 6707 OLYMPIA TRAIL VALDOSTA, Georgia 31601 Map It | 6707 OLYMPIA TRAIL VALDOSTA, Georgia 31601 Map It | REBATE-D.TAYLOR-582491.pdf | ||||||||||||||||||
| 2025-80096559 | 09/29/2026 | Barfield Gas Company, Inc. | Michael Davis | (229) 896-4828 | Email hidden; Javascript is required. | Processing | 09/23/2026 | 09/09/2026 | Caleb Harnage | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199eP | WE.UA-057658 | 09/23/2026 | REBATE-B.STONE-58241.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 | BRIAN STONE | (229) 896-2336 | 1035 HUTCHINSON PARRISH RD ADEL, Georgia 31620 Map It | 1035 HUTCHINSON PARRISH RD ADEL, Georgia 31620 Map It | REBATE-B.STONE-582411.pdf | ||||||||||||||||||
| 2025-23171656 | 09/30/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Processing | 09/25/2026 | 09/25/2026 | Alvin Wilcox | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | Goodman | CAPTA48363AA | 2602275717 | 09/25/2026 | img09302026_0009.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | NAVIEN | NPE240A2 | 2087C2630369F35 | 09/25/2026 | img09302026_00091.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Robert Dorsey | (770) 265-9880 | Email hidden; Javascript is required. | 790 Gaults Gulch Rd Talking Rock, Georgia 30175 Map It | 790 Gaults Gulch Rd Talking Rock, Georgia 30175 Map It | n/a | ||||||||||||
| 2025-44287528 | 09/30/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Processing | 09/25/2026 | 09/25/2026 | Fernando Sordo | Replacement or New Appliance | $450.00 | 2 | Replacement Installation | Cooktop ($50.00) | GE | JGBP35WEWLWW | TS238417P | 09/25/2026 | img09302026_0002.pdf | Propane furnace, or gas pack ($400.00) | Tran | NV | NV | 09/25/2026 | img09302026_00021.pdf | $450.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Hwy Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (404) 538-5601 | Bill Fuller | (404) 538-5601 | Email hidden; Javascript is required. | 819 Courtenay Drive Ne Atlanta, Georgia 30306 Map It | 261 Honeysuckle Way Blue RIdge, Georgia 30513 Map It | img09302026_00022.pdf | |||||||||||
| 2025-45740532 | 09/30/2026 | Conger LP Gas | Darby Greene | (912) 208-8000 | Email hidden; Javascript is required. | Processing | 09/22/2026 | 05/08/2026 | ERIC Pritchard | New Construction | $400.00 | 1 | Propane-Fueled Recirculating Water Heater ($400.00) | RINNIA | RXP199 | TB.BA-038777 | 09/22/2026 | 1268_260930002026_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 | THE FARM | (904) 403-4593 | Email hidden; Javascript is required. | 103 DOC RIDER RD FOLKSTON, Georgia 31537 Map It | 103 DOC RIDER RD FOLKSTON, Georgia 31537 Map It | THE FARM @ OKEFENOKEE CLUBHOUSE | ||||||||||||||||||
| 2025-23010427 | 09/30/2026 | Conger LP Gas | Darby Greene | (912) 208-8000 | Email hidden; Javascript is required. | Incomplete | 09/10/2026 | 09/10/2026 | ERIC Pritchard | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNIA | RE180EP | TJ.UA-128432 | 09/10/2026 | 1275_260930024344_001.pdf | $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 | THE FARM OKEFENOKEE | (904) 403-4593 | Email hidden; Javascript is required. | 103 DOC RIDER RD FOLKSTON, Georgia 31537 Map It | 103 DOC RIDER RD FOLKSTON, Georgia 31537 Map It | THE FARM OKEFENOKEE CONTRACTIONS | ||||||||||||||||||
| 2025-39715888 | 09/30/2026 | Conger LP Gas | Darby Greene | (912) 208-8000 | Email hidden; Javascript is required. | Incomplete | 09/10/2026 | 09/10/2026 | ERIC Pritchard | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNIA | REP160 | PG.UA-050053 | 09/10/2026 | 1276_260930025608_001.pdf | $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 | THE FARM OKEFENOKEE CONTRACTIONS | (904) 403-4593 | Email hidden; Javascript is required. | 103 DOC RIDER RD FOLKSTON, Georgia 31537 Map It | 103 DOC RIDER RD FOLKSTON, Georgia 31537 Map It | THE FARM OKEFENOKEE CONTRACTIONS | ||||||||||||||||||
| 2025-95008729 | 09/30/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Processing | 09/22/2026 | 09/22/2026 | DANIEL SIKES | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199e | W.F UA-074762 | 09/22/2026 | HPSCAN_20260930200432007_2026-09-30_200520294-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 | KYLER HUTCHINSON | (912) 278-3805 | 3449 ZOAR RD BAXLEY, Georgia 31513 Map It | 3449 ZOAR RD BAXLEY, Georgia 31513 Map It | HPSCAN_20260930200432007_2026-09-30_200520294-compressed1.pdf | ||||||||||||||||||
| 2025-92551471 | 09/30/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Processing | 09/25/2026 | 09/25/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX180IN/P | WD.BA-048988 | 09/25/2026 | WILLIS.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 | BRYAN & MOLLY WILLIS | (229) 881-2371 | 3603 QUAIL HOLLOW RD ALBANY, Georgia 31721 Map It | 3603 QUAIL HOLLOW RD ALBANY, Georgia 31721 Map It | WILLIS1.pdf | ||||||||||||||||||
| 2025-45802324 | 09/30/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Processing | 09/18/2026 | 09/18/2026 | CURTIS HUNTER | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX199IN/P | WA.BA-000400 | 09/18/2026 | WILEY.2.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | V53DEP | WC.CA-004736 | 09/18/2026 | WILEY.1.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 | AMANDA WILEY | (229) 357-0489 | 857 US HWY 82 W LEESBURG, Georgia 31763 Map It | 857 US HWY 82 W LEESBURG, Georgia 31763 Map It | AMANDA WIILEY | |||||||||||||
| 2025-92114836 | 09/30/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Processing | 09/23/2026 | 09/23/2026 | RICKY JARRELL | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RL94IP | PC.CA-053159 | 09/23/2026 | HARVEY-JORDAN.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 | HARVEY JORDAN FARMS | (229) 881-6060 | 7813 GA HWY 37 LEARY, Georgia 39862 Map It | 7813 GA HWY 37 LEARY, Georgia 39862 Map It | HARVEY-JORDAN1.pdf | ||||||||||||||||||
| 2025-28166475 | 09/30/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Processing | 09/24/2026 | 09/24/2026 | MIKE BURLESON | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | BRADFORD WHITE | RG250T6X | CB56659140 | 09/24/2026 | PACE.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 | MARCIA TAYLOR-PACE | (229) 886-4314 | 170 RIVERBRIDGE DR LEESBURG, Georgia 31763 Map It | 170 RIVERBRIDGE DR LEESBURG, Georgia 31763 Map It | PACE1.pdf | ||||||||||||||||||
| 2025-32182740 | 09/30/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Processing | 09/24/2026 | 09/24/2026 | DANIEL SIKES | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160e | WE.UA-052645 | 09/24/2026 | HPSCAN_20260930203437748_2026-09-30_203525450-2-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 | EDDIE LUGO | (912) 253-2924 | 4427 ALTMAHA SCHOOL RD BAXLEY, Georgia 31513 Map It | 4427 ALTMAHA SCHOOL RD BAXLEY, Georgia 31513 Map It | EDDIE LUGO | |||||||||||||||||||
| 2025-63732542 | 10/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Processing | 09/24/2026 | 09/24/2026 | Brandon Payne | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Frigidaire | FCRG3052BSK | VF63563150 | 09/24/2026 | img10012026_0002.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Shaun Cole | (706) 851-5069 | Email hidden; Javascript is required. | 610 Loving Rd Morganton, Georgia 30560 Map It | 93 Arbor Creek Point Mineral Bluff, Georgia 30569 Map It | img10012026_00021.pdf | |||||||||||||||||
| 2025-96129218 | 10/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Processing | 09/25/2026 | 09/25/2026 | Brandon Payne | New Construction | $50.00 | 1 | Cooktop ($50.00) | Whirlpool | WFG55630RZ0 | RE0633037 | 09/25/2026 | img10012026_0003.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Mark Thomas | (239) 349-1709 | Email hidden; Javascript is required. | 9158 Toon Lake Dr. Naples, Florida 34109 Map It | 58 Whitetail Hollow Morganton, Georgia 30560 Map It | n/a | ||||||||||||||||||
| 2025-54579167 | 10/01/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Processing | 09/30/2026 | 09/30/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Viking | 2DP30L6H55 | DR2108997 | 09/30/2026 | img10012026_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 | Bridgot Roland Garage | (770) 894-2582 | Email hidden; Javascript is required. | 922 Cape Trail Talking Rock, Georgia 30175 Map It | 924 Cape Trail Talking Rock, Georgia 30175 Map It | img10012026_0017.pdf | |||||||||||||||||
| 2025-39815010 | 10/01/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Processing | 09/23/2026 | 09/23/2026 | DANIEL SIKES | Replacement or New Appliance | $600.00 | 3 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199e | WE.UA-057624 | 09/23/2026 | HPSCAN_20261001175640752_2026-10-01_175728275-compressed.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199e | TL.UA-164972 | 09/23/2026 | HPSCAN_20261001175640752_2026-10-01_175728275-compressed1.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199e | WE.UA-057622 | 09/23/2026 | HPSCAN_20261001175640752_2026-10-01_175728275-compressed2.pdf | $600.00 | SIKES PROPANE INC | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | PERRY WHITE | (912) 347-3140 | 2453 COUNTY FARM RD BAXLEY, Georgia 31513 Map It | 2453 COUNTY FARM RD BAXLEY, Georgia 31513 Map It | HPSCAN_20261001175640752_2026-10-01_175728275-compressed3.pdf | ||||||
| 2025-91295581 | 10/01/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Processing | 09/23/2026 | 09/23/2026 | DANIEL SIKES | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199e | WE.UA-052984 | 09/23/2026 | HPSCAN_20261001175640752_2026-10-01_175728275-compressed4.pdf | $200.00 | SIKES PROPANE INC | SIKES PROPANE | 1488 GOLDEN ISLES WEST BALXEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | PERRY WHITE | (912) 347-3140 | 2453 COUNTY FARM RD BAXLEY, Georgia 31513 Map It | 2453 COUNTY FARM RD BAXLEY, Georgia 31513 Map It | HPSCAN_20261001175640752_2026-10-01_175728275-compressed5.pdf | ||||||||||||||||||
| 2025-14052549 | 10/02/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Processing | 09/30/2026 | 09/30/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | Wolf | CE152TF15 | 18717273 | 09/30/2026 | img10022026_0001.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Joseph Ward | (352) 464-4902 | Email hidden; Javascript is required. | 745 Denlsey Drive Decator, Georgia 30033 Map It | 642 Wilderness Way Blairsville, Georgia 30512 Map It | img10022026_00011.pdf | |||||||||||||||||
| 2025-50410024 | 10/02/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Processing | 10/01/2026 | 10/01/2026 | Kevin Smoot | New Construction | $50.00 | 1 | Cooktop ($50.00) | Thermador | SG5365FS/07 | 900400048 | 10/01/2026 | img20261002_12052886.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Dennis Godnyuk | (678) 480-5406 | 357 Old Hunter Road Statham, Georgia 30666 Map It | 357 Old Hunter Road Statham, Georgia 30666 Map It | N/A | |||||||||||||||||||
| 2025-68790534 | 10/02/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Processing | 10/01/2026 | 10/01/2026 | Owen Dills | New Construction | $50.00 | 1 | Cooktop ($50.00) | Z-line | SDR36-A1 | SE260601162C1100 | 10/01/2026 | img20261002_12380276.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Zach Lurie | (678) 333-1917 | 8515 Pintail Court Lula, Georgia 30554 Map It | 8515 Pintail Court Lula, Georgia 30554 Map It | N/A | |||||||||||||||||||
| 2025-84882727 | 10/02/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Processing | 10/01/2026 | 10/01/2026 | Kevin Smoot | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Bryant | 926TC48060V17A | 0626A44766 | 10/01/2026 | img20261002_13052243.pdf | $400.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Les Jayne | (864) 304-2346 | 505 Johnson Mill Road Jefferson, Georgia 30549 Map It | 505 Johnson Mill Road Jefferson, Georgia 30549 Map It | N/A | |||||||||||||||||||
| 2025-90957455 | 10/02/2026 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Processing | 09/18/2026 | 09/18/2026 | FLOYD BRANCH | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | WE.UA-054679 | 09/18/2026 | ROGERREBATE.pdf | $200.00 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | ROGER RUDD | (229) 400-3228 | 143 CYPRESS LANE DOERUN, Georgia 31744 Map It | 143 CYPRESS LANE DOERUN, Georgia 31744 Map It | ROGERREBATE1.pdf | ||||||||||||||||||
| 2025-80362226 | 10/05/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Processing | 10/01/2026 | 10/01/2026 | DANIEL SIKES | Replacement or New Appliance | $50.00 | 1 | Replacement Installation | Cooktop ($50.00) | FRIGIDAIRE | FCRG3062ASM | VF63457135 | 10/01/2026 | HPSCAN_20261005131231879_2026-10-05_131319636-compressed.pdf | $50.00 | SIKES PROPANE INC | SIKES PROPANE | 1488 GOLDEN ISLES WEST BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | SELENA WEAVER | (912) 240-0033 | 465 GILBERT LANE BAXLEY, Georgia 31513 Map It | 465 GILBERT LANE BAXLEY, Georgia 31513 Map It | HPSCAN_20261005131231879_2026-10-05_131319636-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 |
