| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-57167433 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/20/2026 | 02/20/2026 | Dillion Payne | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnia | REUNB3237FFUD | SHBA132698 | 02/20/2026 | img03132026_0007.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Nathan Stone | (770) 855-1279 | Email hidden; Javascript is required. | 290 Heaven Sent Rd Morganton, Georgia 30560 Map It | 290 Heaven Sent Rd Morganton, Georgia 30560 Map It | n/a | ||||||||||||||||||
| 2025-32605437 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/18/2026 | 02/18/2026 | Alvin Wilcox | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | Reuvc2528ffufus | phca126160 | 02/18/2026 | img03132026_0008.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Bruce Shelfer | (850) 251-3890 | Email hidden; Javascript is required. | 707 Shepherds Ridge Blue Ridge, Georgia 30513 Map It | 707 Shepherds Ridge Blue Ridge, Georgia 30513 Map It | img03132026_00081.pdf | |||||||||||||||||
| 2025-72066121 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/25/2026 | 02/25/2026 | Brandon Payne | New Construction | $800.00 | 2 | Propane furnace, or gas pack ($400.00) | Trane | V213080uv5 | 25314kdmk | 02/25/2026 | img03132026_0010.pdf | Propane furnace, or gas pack ($400.00) | Trane | V2bd400V5 | 25242TFJKG | 02/25/2026 | img03132026_00101.pdf | $800.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Hannah Love DBA Kendall Chris Construction | (706) 258-7464 | Email hidden; Javascript is required. | 385 Summit View Drive Ellijay, Georgia 30536 Map It | 479 Clear Creek Preserve Way Ellijay, Guam 30536 Map It | n/a | ||||||||||||
| 2025-40769985 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/25/2026 | 02/25/2026 | Brandon Payne | New Construction | $50.00 | 1 | Cooktop ($50.00) | GE | GGF600AV255 | AD109453Q | 02/25/2026 | img03132026_0011.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Tonny Katter | (404) 695-3699 | Email hidden; Javascript is required. | 740 Highland Gap Mineral Bluff, Georgia 30559 Map It | 80 Morgan Rd Mineral Bluff, Georgia 30559 Map It | n/a | ||||||||||||||||||
| 2025-18347355 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/25/2026 | 02/25/2026 | Alvin Wilcox | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Navien | NPE240A2NG | 2087D2590479854 | 02/25/2026 | img03132026_0012.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Michael Catalogna | (581) 702-3098 | Email hidden; Javascript is required. | 9027 Short Chip Cir Port St Lucie, Florida 34986 Map It | 703 Old Owen Dr. Blairsville, Georgia 30512 Map It | img03132026_00121.pdf | |||||||||||||||||
| 2025-34577326 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 02/26/2026 | 02/26/2026 | Alvin Wilcox | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | REUVC2528FFUDUS | PHCA126168 | 02/26/2026 | img03132026_0013.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Stephanie Frink | (706) 636-2233 | Email hidden; Javascript is required. | 2655 Grassview Drive Alpharetta, Georgia 30004 Map It | 268 Oakledge Morganton, Georgia 30560 Map It | img03132026_00131.pdf | |||||||||||||||||
| 2025-69030389 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/04/2026 | 03/04/2026 | Alex Cash | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RL75I | PHCA12868 | 03/04/2026 | img03132026_0014.pdf | $200.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Garrett Kaylor | (706) 455-7400 | Email hidden; Javascript is required. | 236 Wolf Creek Road Mineral Bluff, Georgia 30559 Map It | 75 Crystal Run Blue Ridge, Georgia 30513 Map It | n/a | ||||||||||||||||||
| 2025-70895607 | 03/13/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/04/2026 | 03/04/2026 | Alex Cash | New Construction | $50.00 | 1 | Cooktop ($50.00) | GE | JBG561RP455 | DD403326P{ | 03/04/2026 | img03132026_0015.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Alan Bittner | (706) 633-7846 | Email hidden; Javascript is required. | 3550 Lickskillet Rd Epworth, Georgia 30541 Map It | 3550 Lickskillet Rd Epworth, Georgia 30541 Map It | n/a | ||||||||||||||||||
| 2025-66433268 | 03/13/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 03/12/2026 | 03/12/2026 | Brent Walton | New Construction | $200.00 | 1 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RUR199iP | PG-BA-179708 | 03/12/2026 | img20260313_12030316.pdf | $200.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Sean Malone | (770) 616-3807 | 632 Doster Road Jefferson, Georgia 30549 Map It | 632 Doster Road Jefferson, Georgia 30549 Map It | N/A | |||||||||||||||||||
| 2025-55353853 | 03/13/2026 | BATES GAS COMPANY | CHRSITINE FOWLER | (229) 436-5338 | Email hidden; Javascript is required. | Payment Sent | 03/03/2026 | 03/03/2026 | FLOYD BRANCH | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TJ.UA-128420 | 03/03/2026 | justinheape.pdf | $200.00 | Bates Gas Company | Christine Fowler | 2703 SYLVESTER RD ALBANY, Georgia 31705 Map It | Email hidden; Javascript is required. | (229) 436-5338 | JUSTIN HEAPE | (229) 869-2782 | 277 DANBURY ALBANY, Georgia 31721 Map It | 277 DANBURY ALBANY, Georgia 31721 Map It | justinheape1.pdf | ||||||||||||||||||
| 2025-19573821 | 03/16/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 03/16/2026 | 03/16/2026 | MICHAEL WEBB | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TJ.UA-130003 | 03/16/2026 | GLEN-HARRIS.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TH.UA-114228 | 03/16/2026 | GLEN-HARRIS1.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 | GLEN HARRIS | (229) 392-3098 | 46 ARNETT MILL RD TIFTON, Georgia 31794 Map It | 46 ARNETT MILL RD TIFTON, Georgia 31794 Map It | GLEN HARRIS | |||||||||||||
| 2025-82643398 | 03/16/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 03/13/2026 | 03/13/2026 | ROBERT COTHREN | Replacement or New Appliance | $200.00 | 1 | Conversion | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TH.UA-116600 | 03/13/2026 | DAVID-COOPER.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 | DAVID COOPER | (229) 776-0101 | 206 RAMBLEWOOD RD SYLVESTER, Georgia 31791 Map It | 206 RAMBLEWOOD RD SYLVESTER, Georgia 31791 Map It | DAVID-COOPER1.pdf | ||||||||||||||||||
| 2025-62331699 | 03/16/2026 | Folger Gas | Heather Marchman | (706) 367-8782 | Email hidden; Javascript is required. | Payment Sent | 03/13/2026 | 03/13/2026 | Owen Dills | New Construction | $50.00 | 1 | Cooktop ($50.00) | Magali | C-R06-24GL-LP | 1929602100 | 03/13/2026 | img20260316_12225165.pdf | $50.00 | Folger Gas | Heather Marchman | 1950 Bill Wright Road Jefferson, Georgia 30549 Map It | Email hidden; Javascript is required. | (706) 367-8782 | Jeff Clough | (813) 309-8338 | 5615 Linden Drive Gainesville, Georgia 30501 Map It | 5615 Linden Drive Gainesville, Georgia 30501 Map It | N/A | |||||||||||||||||||
| 2025-69037070 | 03/17/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Payment Sent | 03/11/2026 | 03/11/2026 | Jackson Hartley | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199in | TE.BA-100694 | 03/11/2026 | HAYGOOD.pdf | $200.00 | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | Aries Haygood | (912) 526-9331 | 749 Collins Rd Lyons, Georgia 30436 Map It | 199 Collins Rd Lyons, Georgia 30436 Map It | HAYGOOD1.pdf | ||||||||||||||||||
| 2025-56430885 | 03/17/2026 | Conger LP GAS | christina Duncan | (912) 537-8722 | Email hidden; Javascript is required. | Payment Sent | 03/13/2026 | 03/13/2026 | Jackson Hartley | Replacement or New Appliance | $200.00 | 1 | Replacement Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | V53DE | SF.CA-002989 | 03/13/2026 | COLLINS.pdf | $200.00 | Conger LP GAS | Christina Duncan | 604 North Broadfoot Blvd Vidalia, Georgia 30474 Map It | Email hidden; Javascript is required. | (912) 537-8722 | Terry Collins | (912) 526-8708 | 1501 HWY 86 W Lyons, Georgia 30436 Map It | 1501 HWY 86 W Lyons, Georgia 30436 Map It | COLLINS1.pdf | ||||||||||||||||||
| 2025-97823094 | 03/17/2026 | Conger LP gas Moultrie | Kyle Johnson | (229) 985-6942 | Email hidden; Javascript is required. | Payment Sent | 03/17/2026 | 03/17/2026 | Jordan Ledford | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE180EP | TD.UA-058725 | 03/17/2026 | 3693_260317152930_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 | Brett Butler | (229) 392-4380 | Email hidden; Javascript is required. | 1201 Kelly Woods RD Pavo, Georgia 31778 Map It | 1201 Kelly Woods RD Pavo, Georgia 31778 Map It | 3693_260317152930_0011.pdf | |||||||||||||||||
| 2025-58435793 | 03/17/2026 | Conger LP Gas | Charlie Vining | (912) 501-3009 | Email hidden; Javascript is required. | Incomplete | 03/09/2026 | 03/09/2026 | Charlie Vining | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RE160EP | TJ.UA-132945 | 03/09/2026 | DOUGLAS-CHRISTIAN-FELLOWSHIP-RINNAI-REBATE2.pdf | $200.00 | Conger LP Gas | Charlie Vining | 217 Thompson Dr Douglas, Georgia 31533 Map It | Email hidden; Javascript is required. | (912) 501-3009 | Douglas Christian Fellowship | (912) 501-3009 | Email hidden; Javascript is required. | 2761 Baker Hwy Douglas, Georgia 31535 Map It | 2761 Baker Hwy Douglas, Georgia 31535 Map It | DOUGLAS-CHRISTIAN-FELLOWSHIP-RINNAI-REBATE3.pdf | |||||||||||||||||
| 2025-68359772 | 03/17/2026 | Webb Brothers Propane, Inc | Kristy Gamble | (229) 382-0789 | Email hidden; Javascript is required. | Payment Sent | 03/17/2026 | 03/17/2026 | MICHAEL WEBB | New Construction | $400.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | TC.UA-036926 | 03/17/2026 | HAPPY-DAVES.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE180EP | TJ.UA-128405 | 03/17/2026 | HAPPY-DAVES1.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 | HAPPY DAVES DAHVAL PATEL | (229) 237-1237 | 1949 OLD OCILLA RD TIFTON, Georgia 31794 Map It | 1949 OLD OCILLA RD TIFTON, Georgia 31794 Map It | SELF | |||||||||||||
| 2025-33402093 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/05/2026 | 03/05/2026 | Brandon Payne | New Construction | $600.00 | 2 | Propane furnace, or gas pack ($400.00) | Tempstar | FHMA5X361 | F251835205 | 03/05/2026 | img03182026_0019.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnai | RX199I | TDBAD6572 | 03/05/2026 | img03182026_00191.pdf | $600.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Rhonda Holland | (912) 288-7890 | Email hidden; Javascript is required. | 3238 Julieton Rd NE Tolwnsend, Georgia 31331 Map It | 57 Deerfield Ln Blue Ridge, Georgia 30513 Map It | N/A | ||||||||||||
| 2025-18287584 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/05/2026 | 03/05/2026 | Brandon Payne | New Construction | $250.00 | 2 | Propane-Fueled Non-Recirculating Water Heater ($200.00) | Rinnia | RSC160IP | RKBA265386 | 03/05/2026 | img03182026_0020.pdf | Cooktop ($50.00) | Forno | NV | FSB5627736 | 03/05/2026 | img03182026_00201.pdf | $250.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Nathan Berger | (917) 589-3548 | Email hidden; Javascript is required. | 22 Trudy Lane Lakewood, New Jersey 08701 Map It | 456 Whipering Pine Ln Cherry Log, Georgia 30522 Map It | n/a | ||||||||||||
| 2025-62359459 | 03/18/2026 | Folger Gas | Stacy Mullinax | (706) 632-7606 | Email hidden; Javascript is required. | Payment Sent | 03/09/2026 | 03/09/2026 | Alvin Wilcox | Replacement or New Appliance | $50.00 | 1 | Replacement Installation | Cooktop ($50.00) | Samsung | NX6DA651155AA | DJ4V7DAYC4585K | 03/09/2026 | img03182026_0021.pdf | $50.00 | Folger Gas | Stacy Mullinax | 4955 Appalachian Highway Blue Ridge, Georgia 30513 Map It | Email hidden; Javascript is required. | (706) 632-7606 | Kathy Newcomb | (706) 455-7119 | Email hidden; Javascript is required. | 828 Ivy Log Rd Blarisville, Georgia 30512 Map It | 828 Ivy Log Rd Blarisville, Georgia 30512 Map It | img03182026_00211.pdf | |||||||||||||||||
| 2025-82816044 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/10/2026 | 03/10/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RE199EP | TJ.UA-139182 | 03/10/2026 | MURRAY.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 | TORI & MICHAEL MURRAY | (229) 921-4065 | 208 LAKESHORE DR MOULTRIE, Georgia 31768 Map It | 208 LAKESHORE DR MOULTRIE, Georgia 31768 Map It | MURRAY1.pdf | ||||||||||||||||||
| 2025-38578619 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/19/2026 | 02/19/2026 | CURTIS HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | CX199IN/P | TG.BA-168220 | 02/19/2026 | LUCKIES.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 | LUCKIES PATEL | (229) 869-7113 | 275 US 19 N LEESBURG, Georgia 31763 Map It | 275 US 19 N LEESBURG, Georgia 31763 Map It | LUCKIES1.pdf | ||||||||||||||||||
| 2025-53249047 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 02/24/2026 | 02/24/2026 | ROYCE HUNTER | Replacement or New Appliance | $400.00 | 2 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | CX199IN/P | TJ.BA-210313 | 02/24/2026 | KALMAN.pdf | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | CX199IN/P | TJ.BA-210321 | 02/24/2026 | KALMAN1.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 | KALMAN COMPANY | (229) 405-9456 | 1315 W OAKRDIGE DR ALBANY, Georgia 31707 Map It | 1315 W OAKRDIGE DR ALBANY, Georgia 31707 Map It | KALMAN2.pdf | ||||||||||||
| 2025-12875264 | 03/18/2026 | Modern Gas Company, Inc. | Mark Holloway | (229) 435-6116 | Email hidden; Javascript is required. | Payment Sent | 03/11/2026 | 03/11/2026 | ROYCE HUNTER | Replacement or New Appliance | $200.00 | 1 | New Installation | Propane-Fueled Non-Recirculating Water Heater ($200.00) | RINNAI | RX199IN/P | TF.BA-126131 | 03/11/2026 | HARDEN.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 | CHIP HARDEN | (229) 287-9210 | 424 LAKESHORE DR CORDELE, Georgia 31015 Map It | 424 LAKESHORE DR CORDELE, Georgia 31015 Map It | HARDEN1.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 |
