Manage Appliance Rebates (CSV ONLY) – 2024

Invoice #Recipient NameCustomer / Recipient EmailMailing AddressInstallation AddressCompany NameCompany PhoneCompany EmailApplication AgeRebate StatusRebate ExpirationSafety Inspection DatePurchase/Invoice DateType of InstallationWere you affected by hurricane Helene?What county do you live in?How many rebates would you like to claim?Installation TypeRebate #1Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #2Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #3Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #4Appliance TypeAppliance TypeModel #BrandSerial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #5Appliance TypeAppliance TypeModel #BrandSerial NumberInstallation DateUpload ReceiptUpload ReceiptTotalCustomer / Recipient NameCustomer / Recipient Phone NumberCustomer / Recipient EmailCustomer / Recipient AddressCustomer / Recipient Installation AddressRequired MaterialsUpload Proof of Purchase:Name of Builder/ContractorUpload Spec Sheet for Manufactured Home
2024-59911324RICHARD LAVENDAR722 WEST CHARITY ROAD
ROSE HILL, North Carolina 28458
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722 WEST CHARITY ROAD
ROSE HILL, North Carolina 28458
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SMITH BROTHERS GAS COMPANY(910) 284-3309Email hidden; Javascript is required.5Payment Sent08/30/202408/30/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RINNAIRE140epRC.US-03398908/30/2024richardlavendarrebate.pdf$300.00RICHARD LAVENDAR(910) 617-5597722 WEST CHARITY ROAD
ROSE HILL, North Carolina 28458
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PO BOX 477
ROSE HILL, North Carolina 28458
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2024-70530683Willie LivesayEmail hidden; Javascript is required.224 Sylvan School Rd
Snow Camp, North Carolina 27349
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224 Sylvan School Rd
Snow Camp, North Carolina 27349
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.5Payment Sent08/30/202408/30/2024New Construction1New ConstructionFurnace ($400.00)Trane4ycc4030e1070a23474870fa08/30/2024$400.00Willie Livesay(423) 571-9136Email hidden; Javascript is required.224 Sylvan School Rd
Snow Camp, North Carolina 27349
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224 Sylvan School Rd
Snow Camp, North Carolina 27349
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
William Riley
2024-67561109PAUL KIRSCHENFELDEmail hidden; Javascript is required.125 TRYST DR
ASHEVILLE, North Carolina 28805
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125 TRYST DR
ASHEVILLE, North Carolina 28805
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.5Payment Sent08/30/202408/30/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)Rinnaire160ipse.ua-07598408/30/2024Invoice-8BEB2546-5946-421B-8B1B-01C24731B678kirschenfeld.pdf$300.00PAUL KIRSCHENFELD(803) 767-6738Email hidden; Javascript is required.125 TRYST DR
ASHEVILLE, North Carolina 28805
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125 TRYST DR
ASHEVILLE, North Carolina 28805
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Invoice-8BEB2546-5946-421B-8B1B-01C24731B678kirschenfeld1.pdf
2024-49765302WILDLIFE WOODS CAMPGROUND, INC.Email hidden; Javascript is required.4582 BEAVER BLVD
SHERRILLS FORD, North Carolina 28673
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4582 BEAVER BLVD
SHERRILLS FORD, North Carolina 28673
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G&B ENERGY(704) 873-4747Email hidden; Javascript is required.7Payment Sent08/29/202408/29/2024Replacement or New Appliance2Propane to PropaneTankless Water Heater ($300.00)RINNAIREU-VC2837FFUD-USRM.UA-15989508/29/2024WILDLIFE_WOODS_REBATE_1.pdfTankless Water Heater ($300.00)RINNAIREU-VC2837FFUD-US-PRM.UA-15990208/29/2024WILDLIFE_WOODS_REBATE_2.pdf$600.00WILDLIFE WOODS CAMPGROUND, INC.(704) 658-9251Email hidden; Javascript is required.4582 BEAVER BLVD
SHERRILLS FORD, North Carolina 28673
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4582 BEAVER BLVD
SHERRILLS FORD, North Carolina 28673
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2024-60295933Alan WhittingtonEmail hidden; Javascript is required.455 Holly Tree Dr
Wilkesboro, North Carolina 28697
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455 Holly Tree Dr
Wilkesboro, North Carolina 28697
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G&B ENERGY(336) 973-2411Email hidden; Javascript is required.9Payment Sent08/27/202408/27/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RinnaiRL75ipPE.CA-08386508/27/2024ALAN-WHITTINGTON-SALES-INVOICE.pdf$300.00Alan Whittington(336) 262-2062Email hidden; Javascript is required.455 Holly Tree Dr
Wilkesboro, North Carolina 28697
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455 Holly Tree Dr
Wilkesboro, North Carolina 28697
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
ALAN-WHITTINGTON-SALES-INVOICE1.pdf
2024-20112831JARED REIDEmail hidden; Javascript is required.6616 ALIRIN LANE
FUQUAY-VARINA, North Carolina 27526
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6616 ALIRIN LANE
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.9Payment Sent08/27/202408/27/2024New Construction2New ConstructionTankless Water Heater ($300.00)NavienNPE240s22089E243276906708/27/2024Cook Top/Range ($50.00)not surepgp9030sl3ssfz127994q08/27/2024$350.00JARED REID(910) 583-8608Email hidden; Javascript is required.6616 ALIRIN LANE
FUQUAY-VARINA, North Carolina 27526
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6616 ALIRIN LANE
FUQUAY-VARINA, North Carolina 27526
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
BIG MONKEY RENOVATIONS
2024-16099480JORGE CARRILLOEmail hidden; Javascript is required.8112 MUIRFIELD DR.
FUQUAY-VARINA, North Carolina 27526
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8112 MUIRFIELD DR.
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.2Payment Sent09/03/202409/03/2024New Construction1New ConstructionCook Top/Range ($50.00)NOT KNOWNCGP70362N2S1GZ024055Q09/03/2024$50.00JORGE CARRILLO(919) 360-8824Email hidden; Javascript is required.8112 MUIRFIELD DR.
FUQUAY-VARINA, North Carolina 27526
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8112 MUIRFIELD DR.
FUQUAY-VARINA, North Carolina 27526
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
SCOTT CORCORAN BUILDERS
2024-14567582JONATHON SHORTEmail hidden; Javascript is required.5328 APRIL WIND DR.
FUQUAY-VARINA, North Carolina 27526
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5328 APRIL WIND DR.
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.6Payment Sent08/30/202408/17/2024Replacement or New Appliance1Propane to PropaneCook Top/Range ($50.00)GEGGS600AVFSFZ131872Q08/30/2024Upload Receipt$50.00JONATHON SHORT(984) 202-6785Email hidden; Javascript is required.5328 APRIL WIND DR.
FUQUAY-VARINA, North Carolina 27526
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5328 APRIL WIND DR.
FUQUAY-VARINA, North Carolina 27526
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Upload Proof of Purchase:
2024-21941851Thomas EllerEmail hidden; Javascript is required.2328 Clayette Ct
Raleigh, North Carolina 27612
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2328 Clayette Ct
Raleigh, North Carolina 27612
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Blossman Gas(828) 682-2118Email hidden; Javascript is required.2Payment Sent09/04/202409/04/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RinnaiRE160IPSB.UA-01370309/04/2024Eller.pdf$300.00Thomas Eller(919) 802-1901Email hidden; Javascript is required.2328 Clayette Ct
Raleigh, North Carolina 27612
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340 Trillium Lane
Mars Hill, North Carolina 28754
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Eller1.pdf
2024-17881288Charles BrownEmail hidden; Javascript is required.677 Chelsea Dr
Sanford, North Carolina 27332
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677 Chelsea Dr
Sanford, North Carolina 27332
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Hunter Oil & Propane(919) 775-5651Email hidden; Javascript is required.22Payment Sent08/15/202408/15/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RINNAIRE160ISF.UA08051208/15/2024C-Brown-receipt.pdf$300.00Charles Brown(919) 440-1870Email hidden; Javascript is required.677 Chelsea Dr
Sanford, North Carolina 27332
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677 Chelsea Dr
Sanford, North Carolina 27332
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
C-Brown-receipt1.pdf
2024-33483669Butch Janes128 Majestic Ct
Wilkesboro, North Carolina 28697
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128 Majestic Ct
Wilkesboro, North Carolina 28697
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G&B ENERGY(336) 973-2411Email hidden; Javascript is required.7Payment Sent08/30/202407/06/2024New Construction2New ConstructionTankless Water Heater ($300.00)RinnaiRE180ipRJ.UA-12336607/06/2024Cook Top/Range ($50.00)FrigidaireFCFG3062ASVF4291357108/30/2024$350.00Butch Janes(336) 927-0744128 Majestic Ct
Wilkesboro, North Carolina 28697
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128 Majestic Ct
Wilkesboro, North Carolina 28697
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Canter Construction Company
2024-11225643Herold McCaslinEmail hidden; Javascript is required.111 Regal Oaks Drive
Wilkesboro, North Carolina 28697
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111 Regal Oaks Drive
Wilkesboro, North Carolina 28697
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G&B ENERGY(336) 973-2411Email hidden; Javascript is required.8Payment Sent08/29/202408/29/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRL75IPPG.CA-11093108/29/2024MCCASLIN-SALES-INVOICE.pdf$300.00Herold McCaslin(714) 335-6099Email hidden; Javascript is required.111 Regal Oaks Drive
Wilkesboro, North Carolina 28697
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111 Regal Oaks Drive
Wilkesboro, North Carolina 28697
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
MCCASLIN-SALES-INVOICE1.pdf
2024-17322715Jeanie LinEmail hidden; Javascript is required.2732 Beehnon Way
Raleigh, North Carolina 27603
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2732 Beehnon Way
Raleigh, North Carolina 27603
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L.G. Jordan Oil Co., Inc.(919) 362-8388Email hidden; Javascript is required.2Payment Sent09/04/202408/15/2024New Construction3New ConstructionFurnace ($400.00)CarrierD346435G03KHTX21E28E03EC708/15/2024Tankless Water Heater ($300.00)RheeMRTGH99DVLP3W47230002308/15/2024Cook Top/Range ($50.00)WhirlpoolWEG745H0LZCRB342870508/15/2024$750.00Jeanie Lin(919) 435-4357Email hidden; Javascript is required.2732 Beehnon Way
Raleigh, North Carolina 27603
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2325 Win Rd
Garner, North Carolina 27529
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Sabol Homes
2024-65840062Keith LloydEmail hidden; Javascript is required.3716 S NC HWY 87
Graham, North Carolina 27253
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3716 S NC HWY 87
Graham, North Carolina 27253
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L & M Nicholson Heating and Air, Inc.(336) 376-9998Email hidden; Javascript is required.14Payment Sent08/23/202408/23/2024New Construction1New ConstructionFurnace ($400.00)TraneS9X1B060U4PSBAB24325N03KG08/23/2024$400.00Keith Lloyd(336) 516-0444Email hidden; Javascript is required.3716 S NC HWY 87
Graham, North Carolina 27253
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3716 S NC HWY 87
Graham, North Carolina 27253
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
L & M Nicholson Heating and Air, Inc.
2024-11570744Ralph Murchison5008 Bass Mountain Rd
Snow Camp, North Carolina 27349
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5008 Bass Mountain Rd
Snow Camp, North Carolina 27349
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L & M Nicholson Heating and Air, Inc.(336) 376-9998Email hidden; Javascript is required.8Payment Sent08/29/202408/29/2024Replacement or New Appliance1Propane to PropaneFurnace ($400.00)Trane4YCC4036E1070AA24326087FA08/29/2024Ralph-Murchison-Invoice.pdf$400.00Ralph Murchison(336) 337-19975008 Bass Mountain Rd
Snow Camp, North Carolina 27349
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5008 Bass Mountain Rd
Snow Camp, North Carolina 27349
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Ralph-Murchison-Invoice1.pdf
2024-14075813CARL SHAVEREmail hidden; Javascript is required.134 CURRENT RD
OLIN, North Carolina 28660
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134 CURRENT RD
OLIN, North Carolina 28660
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G&B ENERGY(704) 873-4747Email hidden; Javascript is required.4Payment Sent09/03/202409/03/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RINNAIREU-VC2528FFUD-US (A) -PPF. CA-08729109/03/2024CARL_SHAVER_WH_INVOICE.pdf$300.00CARL SHAVER(704) 657-4759Email hidden; Javascript is required.134 CURRENT RD
OLIN, North Carolina 28660
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134 CURRENT RD
OLIN, North Carolina 28660
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
CARL_SHAVER_WH_INVOICE1.pdf
2024-16934606JESSICA & NATHANIEL ROVIRAEmail hidden; Javascript is required.117 CAJUN HIDEAWAY LN
STATESVILLE, North Carolina 28625
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117 CAJUN HIDEAWAY LN
STATESVILLE, North Carolina 28625
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G&B ENERGY(704) 873-4747Email hidden; Javascript is required.4Payment Sent09/06/202407/16/2024New Construction1New ConstructionTankless Water Heater ($300.00)RINNAIREU-VE2432WD-US-PRL. UA-14602107/16/2024$300.00JESSICA & NATHANIEL ROVIRA(336) 906-4251Email hidden; Javascript is required.117 CAJUN HIDEAWAY LN
STATESVILLE, North Carolina 28625
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117 CAJUN HIDEAWAY LN
STATESVILLE, North Carolina 28625
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
NATHANIEL ROVIRA
2024-14680863SARAH GRADYEmail hidden; Javascript is required.392 HARRIS DR.
BOONE, North Carolina 28607
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392 HARRIS DR.
BOONE, North Carolina 28607
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APPALACHIAN ENERGY(828) 262-3637Email hidden; Javascript is required.7Payment Sent09/03/202409/03/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRF160IPPH.UA-06922009/03/2024GRADY-INV60372.pdf$300.00SARAH GRADY(865) 250-2805Email hidden; Javascript is required.392 HARRIS DR.
BOONE, North Carolina 28607
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392 HARRIS DR.
BOONE, North Carolina 28607
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
GRADY-INV603721.pdf
2024-17122438TIMOTHY BLACKWELLEmail hidden; Javascript is required.6712 MT HERMON ROCK CREEK RD
SNOW CAMP, North Carolina 27349
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6712 MT HERMON ROCK CREEK RD
SNOW CAMP, North Carolina 27349
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.7Payment Sent09/03/202409/03/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RinnaiREU-VC2025FFE.USWJ.CA-11924409/03/2024Timothy-Blackwell-Receipt.pdf$300.00TIMOTHY BLACKWELL(336) 290-2743Email hidden; Javascript is required.6712 MT HERMON ROCK CREEK RD
SNOW CAMP, North Carolina 27349
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6712 MT HERMON ROCK CREEK RD
SNOW CAMP, North Carolina 27349
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Timothy-Blackwell-Receipt1.pdf
2024-12129410NEVADA GREGORYEmail hidden; Javascript is required.35 JR LANE
CANDLER, North Carolina 28715
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35 JR LANE
CANDLER, North Carolina 28715
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.1Payment Sent09/10/202409/10/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)rinnaire140ippk.ua-11047209/10/2024Invoice-0B3B5E99-1205-4F5F-8B0C-F5C861D469C8gregory.pdf$300.00NEVADA GREGORY(772) 370-4045Email hidden; Javascript is required.35 JR LANE
CANDLER, North Carolina 28715
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35 JR LANE
CANDLER, North Carolina 28715
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Invoice-0B3B5E99-1205-4F5F-8B0C-F5C861D469C8gregory1.pdf
2024-18557244GERALD PRENTICEEmail hidden; Javascript is required.45 BARTLETT MOUNTAIN ROAD
ASHEVILLE, North Carolina 28805
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45 BARTLETT MOUNTAIN ROAD
ASHEVILLE, North Carolina 28805
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.6Payment Sent09/05/202409/05/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RINNAIRU160IPPH.BA-24756209/05/2024Invoice-C1328F26-05C2-4704-8867-78E931EFF615-1PRENTICE.pdf$300.00GERALD PRENTICE(941) 227-2006Email hidden; Javascript is required.45 BARTLETT MOUNTAIN ROAD
ASHEVILLE, North Carolina 28805
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45 BARTLETT MOUNTAIN ROAD
ASHEVILLE, North Carolina 28805
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
Invoice-C1328F26-05C2-4704-8867-78E931EFF615-1PRENTICE1.pdf
2024-18104835JERRY ANDERSON872 PILOT POWER DAM ROAD
PILOT MOUNTAIN, North Carolina 27041
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872 PILOT POWER DAM ROAD
PILOT MOUNTAIN, North Carolina 27041
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G&B Energy(336) 368-3678Email hidden; Javascript is required.8Payment Sent09/04/202409/04/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)NAVIENNPE-210S22084W238183944909/04/2024JERRY-ANDERSON.pdf$300.00JERRY ANDERSON(336) 782-3518872 PILOT POWER DAM ROAD
PILOT MOUNTAIN, North Carolina 27041
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872 PILOT POWER DAM ROAD
PILOT MOUNTAIN, North Carolina 27041
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
2024-16332152BETH RELYEAEmail hidden; Javascript is required.831 Meadow Road
Walstonburg, North Carolina 27888
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831 Meadow Road
Walstonburg, North Carolina 27888
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RAND WADE OIL COMPANY INC(252) 747-5040Email hidden; Javascript is required.29Payment Sent08/14/202408/14/2024New Construction5New ConstructionFurnace ($400.00)Temp StarN92MSN0601714AA23176241408/14/2024Furnace ($400.00)Temp StarN92MSN0401712A1A23235824508/14/2024Tankless Water Heater ($300.00)RINNAIRSC199epPL. UA-11978908/14/2024Cook Top/Range ($50.00)WFG320M0MS0Whirl PoolVEC383725508/14/2024Clothes Dryer ($50.00)WGD4616FW3Whirl PoolMC280209808/14/2024$1,200.00BETH RELYEA(252) 714-2705Email hidden; Javascript is required.831 Meadow Road
Walstonburg, North Carolina 27888
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831 Meadow Road
Walstonburg, North Carolina 27888
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
HOLLOMAN CONSTRCUCTIN COMPANY INC
2024-11551688DAVID WINEBARGEREmail hidden; Javascript is required.PO BOX 148
VILAS, North Carolina 28692
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PO BOX 148
VILAS, North Carolina 28692
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APPALACHIAN ENERGY(828) 262-3637Email hidden; Javascript is required.5Payment Sent09/07/202409/07/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRL75IPE.CA-08369309/07/2024DAVID-WINEBARGER-REBATE.pdf$300.00DAVID WINEBARGER(828) 434-3867Email hidden; Javascript is required.PO BOX 148
VILAS, North Carolina 28692
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3646 BUCKEYE RD
SUGAR GROVE, North Carolina 28679
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
DAVID-WINEBARGER-REBATE1.pdf
2024-44126825BRENT MURPHYEmail hidden; Javascript is required.2811 US 13
SNOW HILL, North Carolina 28580
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2811 US 13
SNOW HILL, North Carolina 28580
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RAND WADE OIL COMPANY INC(252) 747-5040Email hidden; Javascript is required.16Payment Sent08/27/202408/27/2024New Construction1New ConstructionTankless Water Heater ($300.00)RINNAIREP199ePL.UA-1-11978908/27/2024$300.00BRENT MURPHY(252) 526-1993Email hidden; Javascript is required.2811 US 13
SNOW HILL, North Carolina 28580
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2811 US 13
SNOW HILL, North Carolina 28580
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The following materials are required to complete your application:
  • Proof of purchase (copy of end user’s sales receipt or invoice for the propane appliances)
DOUG HERRING BUILDERS
Invoice #Recipient NameCustomer / Recipient EmailMailing AddressInstallation AddressCompany NameCompany PhoneCompany EmailApplication AgeRebate StatusRebate ExpirationSafety Inspection DatePurchase/Invoice DateType of InstallationWere you affected by hurricane Helene?What county do you live in?How many rebates would you like to claim?Installation TypeRebate #1Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #2Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #3Appliance TypeAppliance TypeBrandModel #Serial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #4Appliance TypeAppliance TypeModel #BrandSerial NumberInstallation DateUpload ReceiptUpload ReceiptRebate #5Appliance TypeAppliance TypeModel #BrandSerial NumberInstallation DateUpload ReceiptUpload ReceiptTotalCustomer / Recipient NameCustomer / Recipient Phone NumberCustomer / Recipient EmailCustomer / Recipient AddressCustomer / Recipient Installation AddressRequired MaterialsUpload Proof of Purchase:Name of Builder/ContractorUpload Spec Sheet for Manufactured Home