| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-38297093 | 02/27/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 02/17/2026 | 02/17/2026 | Andre Mitchell | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX160iN | TE.BA-090660 | 02/17/2026 | OWENS-5036_4990_260226095425_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 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5036 Hamilton Green Circle Valdosta, Georgia 31605 Map It | OWENS-5036_4990_260226095425_0011.pdf | |||||||||||||||||
| 2025-91495359 | 02/27/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 02/17/2026 | 02/17/2026 | Andre Mitchell | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX160iN | TE.BA-087445 | 02/17/2026 | OWENS-5081_4991_260226095453_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 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5081 Hamilton Green Circle Valdosta, Georgia 31605 Map It | OWENS-5081_4991_260226095453_0011.pdf | |||||||||||||||||
| 2025-42389268 | 02/27/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 02/17/2026 | 02/17/2026 | Andre Mitchell | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX160iN | TF.BA-115852 | 02/17/2026 | OWENS-5089_4992_260226095520_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 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5089 Hamilton Green Circle Valdosta, Georgia 31605 Map It | OWENS-5089_4992_260226095520_0011.pdf | |||||||||||||||||
| 2025-20660778 | 02/27/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 02/17/2026 | 02/17/2026 | Owens Vinyl | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX160iN | TE.BA-090658 | 02/17/2026 | OWENS-5077_4993_260226095546_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 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 5077 Hamilton Green Circle Valdosta, Georgia 31605 Map It | OWENS-5077_4993_260226095546_0011.pdf | |||||||||||||||||
| 2025-78572474 | 02/27/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 01/31/2026 | 01/31/2026 | Justin Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199iN | TG.BA-170769 | 01/31/2026 | 1943_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 | Jaqueline Baltunis | (253) 341-0207 | Email hidden; Javascript is required. | 5592 Alabama Ave. Omega, Georgia 317754 Map It | 5592 Alabama Ave. Omega, Georgia 317754 Map It | 1943_0011.pdf | |||||||||||||||||
| 2025-82349488 | 02/27/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 01/31/2026 | 01/31/2026 | Hunter Seabolt | Replacement or New Appliance | $400.00 | 1 | Replacement Installation | Propane-Fueled Recirculating Water Heater ($400.00) | Rinnai | REP160eP | PG.UA-050047 | 01/31/2026 | 1944_001.pdf | $400.00 | Conger LP Gas | Lee Mathews | 146 S. RIDGE AVE. TIFTON, Georgia 31794 Map It | Email hidden; Javascript is required. | (229) 386-5574 | John Waters | (478) 397-8561 | Email hidden; Javascript is required. | 424 Alapaha River Rd. Chula, Georgia 31733 Map It | 424 Alapaha River Rd. Chula, Georgia 31733 Map It | 1944_0011.pdf | |||||||||||||||||
| 2025-15686037 | 02/27/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Submitted | 02/05/2026 | 02/05/2026 | DANIEL SIKES | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE140e | TC.UA-043925 | 02/05/2026 | HPSCAN_20260227182453674_2026-02-27_182541234-1-compressed.pdf | $200.00 | SIKES PROPANE INC. | SIKES PROPANE | 2174 HATCH PARWAY SOUTH BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | BRYANT KERNS | (912) 327-9471 | 159 SATILLA CHURCH RD BAXLEY, Georgia 31513 Map It | 159 SATILLA CHURCH RD BAXLEY, Georgia 31513 Map It | HPSCAN_20260227182453674_2026-02-27_182541234-1-compressed1.pdf | ||||||||||||||||||
| 2025-78620073 | 02/27/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 02/24/2026 | 02/24/2026 | Greg Hanks | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199iN | TD.BA-067999 | 02/24/2026 | 1950_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 | Greg Hanks | (229) 507-0512 | Email hidden; Javascript is required. | 14414 USHwy 125 Nashville, Georgia 31639 Map It | 14414 USHwy 125 Nashville, Georgia 31639 Map It | 1950_0011.pdf | |||||||||||||||||
| 2025-38824298 | 02/27/2026 | Sikes Propane Inc | Daniel Sikes Jr | (912) 367-1151 | Email hidden; Javascript is required. | Submitted | 02/10/2026 | 02/10/2026 | DANIEL SIKES | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX199 | TJ.BA-208158 | 02/10/2026 | HPSCAN_20260227200611885_2026-02-27_200659227-2-compressed.pdf | $200.00 | SIKES PROPANE INC. | SIKES PROPANE | 2174 HATCH PARWAY SOUTH BAXLEY, Georgia 31513 Map It | Email hidden; Javascript is required. | (912) 367-1151 | FIREBREAK BERRIES | (912) 286-5035 | 130 LEWIS LANE ALMA, Georgia 31510 Map It | 130 LEWIS LANE ALMA, Georgia 31510 Map It | HPSCAN_20260227200611885_2026-02-27_200659227-2-compressed1.pdf | ||||||||||||||||||
| 2025-28346793 | 02/27/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 02/19/2026 | 02/19/2026 | Justin Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | TG.UA-098204 | 02/19/2026 | 1950_0012.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 | Gary Grimes | (229) 382-1501 | Email hidden; Javascript is required. | 305 South Ridge Ave. Tifton, Georgia 31793 Map It | 305 South Ridge Ave. Tifton, Georgia 31793 Map It | 1950_0013.pdf | |||||||||||||||||
| 2025-98628904 | 02/28/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Submitted | 02/27/2026 | 02/27/2026 | MICHAEL WEBB | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | V53DEP | TG.CA-004998 | 02/27/2026 | LAMAR-JOYNER.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 | LAMAR JOYNER | (229) 402-2926 | 1150 HWY 125 N TIFTON, Georgia 31794 Map It | 1150 HWY 125 N TIFTON, Georgia 31794 Map It | LAMAR-JOYNER1.pdf | ||||||||||||||||||
| 2025-24764358 | 03/02/2026 | Conger LP Gas | Lee Phillips | (229) 386-5574 | Email hidden; Javascript is required. | Submitted | 02/05/2026 | 02/05/2026 | Justin Seabolt | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Bradford White | RG740T6X | AH53808748 | 02/05/2026 | 1970_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 | Steve Hooks | (229) 402-2090 | Email hidden; Javascript is required. | 553 Lower TyTy Rd. TyTy, Georgia 31795 Map It | 553 Lower TyTy Rd. TyTy, Georgia 31795 Map It | 1970_0011.pdf | |||||||||||||||||
| 2025-72829006 | 03/02/2026 | EverGlo Propane Gas Service Inc | Christy Greene | (229) 439-4540 | Email hidden; Javascript is required. | Submitted | 02/20/2026 | 02/20/2026 | Barry Vann | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE199eP | TL.UA-167573 | 02/20/2026 | $200.00 | EverGlo Propane Gas Service Inc | Christy Greene | 2215 Gillionville Road ALBANY, Georgia 31707 Map It | Email hidden; Javascript is required. | (229) 439-4540 | Steve Stokes | (229) 869-1076 | Email hidden; Javascript is required. | 339 Leland Ferrell Rd Leesburg, Georgia 31763 Map It | 339 Leland Ferrell Rd Leesburg, Georgia 31763 Map It | |||||||||||||||||||
| 2025-55912725 | 03/02/2026 | EverGlo Propane Gas Service Inc | Christy Greene | (229) 439-4540 | Email hidden; Javascript is required. | Submitted | 02/10/2026 | 02/10/2026 | Barry Vann | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180eP | TM.UA-172198 | 02/10/2026 | Eldoana-Wilkerson-Rinnai.pdf | $200.00 | EverGlo Propane Gas Service Inc | Christy Greene | 2215 Gillionville Road ALBANY, Georgia 31707 Map It | Email hidden; Javascript is required. | (229) 439-4540 | Eldonna Wilkerson | (229) 881-3365 | 4533 N. Depot Street Leary, Georgia 39862 Map It | 4533 N. Depot Street Leary, Georgia 39862 Map It | |||||||||||||||||||
| 2025-53918979 | 03/02/2026 | EverGlo Propane Gas Service Inc | Christy Greene | (229) 439-4540 | Email hidden; Javascript is required. | Submitted | 02/11/2026 | 02/11/2026 | Barry Vann | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160eP | TJ.UA-134962 | 02/11/2026 | Jim-Johnson-Rinnai.pdf | $200.00 | EverGlo Propane Gas Service Inc | Christy Greene | 2215 Gillionville Road ALBANY, Georgia 31707 Map It | Email hidden; Javascript is required. | (229) 439-4540 | Jim Johnson | (229) 439-4540 | Email hidden; Javascript is required. | 2705 Shannon Dr Albany, Georgia 31721 Map It | 2705 Shannon Dr Albany, Georgia 31721 Map It | ||||||||||||||||||
| 2025-24286523 | 03/03/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 03/02/2026 | 03/02/2026 | Owen Dills | New Construction | $400.00 | 1 | Propane furnace, or gas pack ($400.00) | Daikin | GR95960804CNAA | 2507124914 | 03/02/2026 | img20260303_15432481.pdf | $400.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Charles Stevenson | (770) 633-3461 | 173 White Tail Drive Gillsville, Georgia 30543 Map It | 173 White Tail Drive Gillsville, Georgia 30543 Map It | N/A | |||||||||||||||||||
| 2025-61520038 | 03/04/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 03/03/2026 | 03/03/2026 | Kevin Smoot | New Construction | $450.00 | 2 | Cooktop ($50.00) | Frigidaire | FCRG3051BBA | VF41014232 | 03/03/2026 | img20260304_12123057.pdf | Propane furnace, or gas pack ($400.00) | Bryant | 57ENWB36090AA | 0225F50186 | 03/03/2026 | img20260304_121230571.pdf | $450.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Donald Brooks | (706) 658-7006 | 535 Brooks Drive Nicholson, Georgia 30565 Map It | 535 Brooks Drive Nicholson, Georgia 30565 Map It | N/A | |||||||||||||
| 2025-28272491 | 03/04/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 02/24/2026 | 02/24/2026 | Owen Dills | New Construction | $800.00 | 2 | Propane furnace, or gas pack ($400.00) | Goodman | COPF363YNDR | 1502829114 | 02/24/2026 | img20260304_12264693.pdf | Propane furnace, or gas pack ($400.00) | Carrier | 2NPDP2417ATAABAA | NO7X20081 | 02/24/2026 | img20260304_122646931.pdf | $800.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Doug Perkins | (484) 232-9423 | 34 Cove Trail Hartwell, Georgia 30643 Map It | 34 Cove Trail Hartwell, Georgia 30643 Map It | N/A | |||||||||||||
| 2025-28830132 | 03/04/2026 | Conger LP Gas | KAYLEA SMITH | (229) 469-4250 | Email hidden; Javascript is required. | Submitted | 03/03/2026 | 03/03/2026 | Matthew Ray | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RU160eP | NG.BA-133065 | 03/03/2026 | OWENS-370_0066_260304151159_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 | Owens Vinyl | (229) 482-3375 | Email hidden; Javascript is required. | 14 Murray Blvd Lakeland, Georgia 31635 Map It | 370 Barryfield Circle Hahira, Georgia 31632 Map It | OWENS-370_0066_260304151159_0011.pdf | |||||||||||||||||
| 2025-54824564 | 03/04/2026 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Submitted | 01/29/2026 | 01/29/2026 | FLOYD BRANCH | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | TG.UA-098206 | 01/29/2026 | mobleyrebate.pdf | $200.00 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | MOBLEY ELECTRIC ELECTRIC | (229) 894-0458 | 1593 HWY 19 N LEESBURG, Georgia 31763 Map It | 1593 HWY 19 N LEESBURG, Georgia 31763 Map It | mobleyrebate1.pdf | ||||||||||||||||||
| 2025-23188091 | 03/04/2026 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Submitted | 02/24/2026 | 02/16/2026 | FLOYD BRANCH | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | TG.UA-098205 | 02/16/2026 | BOZEMANREBATE.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE160EP | TG.UA-097362 | 02/16/2026 | BOZEMANREBATE1.pdf | $400.00 | BATES GAS COMPANY | CHRSITINE FOWLER | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | JOHN BOZEMAN | (863) 449-0453 | 10523 HWY 93 SALE CITY, Georgia 31784 Map It | 10523 HWY 93 SALE CITY, Georgia 31784 Map It | JOHN BOZEMAN | |||||||||||||
| 2025-24201524 | 03/05/2026 | Fitzgerald Utilities | Cecilia Smith | (229) 426-5440 | Email hidden; Javascript is required. | Submitted | 03/02/2026 | 02/25/2026 | CHRIS WOODS | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180E | TH.UA-119756 | 03/02/2026 | C-BOSTIC_0001.pdf | $200.00 | FITZGERALD UTILITIES | JUSTIN SUMNER | P.O. BOX 667 122 NORTH MAIN STREET FITZGERALD, Georgia 31750 Map It | Email hidden; Javascript is required. | (229) 426-5440 | CODY BOSTIC | (229) 457-0165 | 117 BURTON RD FITZGERALD, Georgia 31750 Map It | 117 BURTON RD FITZGERALD, Georgia 31750 Map It | SELF | |||||||||||||||||||
| 2025-18047239 | 03/05/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 02/04/2026 | 02/04/2026 | Brandon Payne | New Construction | $450.00 | 2 | Propane furnace, or gas pack ($400.00) | Rheem | NV | 023855546 | 02/04/2026 | img03052026_0044.pdf | Cooktop ($50.00) | Maytag | NV | NV | 02/04/2026 | img03052026_00441.pdf | $450.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Scptt Carter | (706) 632-7606 | Email hidden; Javascript is required. | PO Box 1657 Blue Ridge, Georgia 30513 Map It | 737 Green Ridge Rd Blue Ridge, Georgia 30513 Map It | n/a | ||||||||||||
| 2025-79562777 | 03/05/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Submitted | 02/06/2026 | 02/06/2026 | Dillon Payne | Replacement or New Appliance | $50.00 | 1 | Conversion | Cooktop ($50.00) | LG | Lt6l6937f | 505kmvp13463 | 02/06/2026 | img03052026_0053.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 Vanado | (601) 916-7158 | Email hidden; Javascript is required. | 16 Manatee Hattiesburg, Mississippi 39402 Map It | 220 Old Mill Trace Blue RIdge, Georgia 30513 Map It | img03052026_00531.pdf | |||||||||||||||||
| 2025-26367005 | 03/06/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Submitted | 03/05/2026 | 03/05/2026 | Owen Dills | New Construction | $50.00 | 1 | Cooktop ($50.00) | Frigidaire | GCCG3648AS | IF53890994 | 03/05/2026 | img20260306_11501663.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Daniel Sopterian | (770) 560-6730 | 273 Hickory Hills Drive Jefferson, Georgia 30549 Map It | 273 Hickory Hills 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 |
