| Invoice # | Recipient Name | Customer / Recipient Email | Mailing Address | Installation Address | Company Name | Company Phone | Company Email | Application Age | Rebate Status | Rebate Expiration | Safety Inspection Date | Purchase/Invoice Date | Type of Installation | Were you affected by hurricane Helene? | What county do you live in? | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #2 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #3 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #4 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #5 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Total | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
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| 2024-14154474 | DARLENE RIERSON | 5520 FOSTER STORE RD LIBERTY, North Carolina 27298 Map It | 5520 FOSTER STORE RD LIBERTY, North Carolina 27298 Map It | Euliss Propane | (336) 622-3055 | Email hidden; Javascript is required. | 4 | Submitted | 12/03/2024 | 11/19/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Furnace ($400.00) | AMERICAN STANDARD | 4YCCY036E1090AA | 23501722FA | 11/19/2024 | Gas-Pack-Receipt.pdf | $400.00 | DARLENE RIERSON | (336) 565-4525 | 5520 FOSTER STORE RD LIBERTY, North Carolina 27298 Map It | 5520 FOSTER STORE RD LIBERTY, North Carolina 27298 Map It | The following materials are required to complete your application:
| Gas-Pack-Receipt1.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-50736422 | Patricia McNeill | 813 TARBORO ST LAURINBURG, North Carolina 28352 Map It | 813 TARBORO ST LAURINBURG, North Carolina 28352 Map It | Quality Oil and Gas Company of Laurinburg | (910) 276-6045 | Email hidden; Javascript is required. | 10 | Submitted | 11/27/2024 | 11/09/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Storage-Type Water Heater ($300.00) | RHEEM | XP40T06EC32U1 | A522211299 | 11/27/2024 | Patricia-mcneill-110924.pdf | $300.00 | Patricia McNeill | (910) 276-4138 | 813 TARBORO ST LAURINBURG, North Carolina 28352 Map It | 813 TARBORO ST LAURINBURG, North Carolina 28352 Map It | The following materials are required to complete your application:
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| 2024-73548215 | Kevin Long | 2141 Hemric rd Boonville, North Carolina 27011 Map It | 2141 Hemric rd Boonville, North Carolina 27011 Map It | G & B Energy | (336) 835-3607 | Email hidden; Javascript is required. | 28 | Submitted | 11/09/2024 | 11/09/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Storage-Type Water Heater ($300.00) | Bradfordwhite | RG1PV50S6X19 | aj54024928 | 11/09/2024 | BRNB42200A94A58_001790.pdf | $300.00 | Kevin Long | (336) 466-1641 | 2141 Hemric rd Boonville, North Carolina 27011 Map It | 2141 Hemric rd Boonville, North Carolina 27011 Map It | The following materials are required to complete your application:
| BRNB42200A94A58_0017901.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-21464119 | Thomas Vybrial | 640 Parkwood Medical Park Elkin, North Carolina 28621 Map It | 640 Parkwood Medical Park Elkin, North Carolina 28621 Map It | G & B Energy | (336) 835-3607 | Email hidden; Javascript is required. | 30 | Submitted | 11/07/2024 | 11/07/2024 | Replacement or New Appliance | No | 1 | New Installation | Tankless Water Heater ($300.00) | Rinnai | RL75i | pg.ca-107946 | 11/07/2024 | BRNB42200A94A58_001792.pdf | $300.00 | Thomas Vybrial | (336) 902-0359 | 640 Parkwood Medical Park Elkin, North Carolina 28621 Map It | 3003 Roaring Gap Church Rd Thurmond, North Carolina 28683 Map It | The following materials are required to complete your application:
| BRNB42200A94A58_0017921.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-53896772 | JEANETTE WARD | Email hidden; Javascript is required. | 1981 LINVILLE CREEK RD VILAS, North Carolina 28692 Map It | 1981 LINVILLE CREEK RD VILAS, North Carolina 28692 Map It | APPALACHIAN ENERGY | (828) 262-3637 | Email hidden; Javascript is required. | 4 | Submitted | 12/03/2024 | 12/03/2024 | Replacement or New Appliance | Yes | Watauga | 1 | New Installation | Room Heater ($300.00) | RINNAI | EX38DTP | SC.LB-005313 | 12/03/2024 | WARD-REBATE.pdf | $300.00 | JEANETTE WARD | (828) 416-0094 | Email hidden; Javascript is required. | 1981 LINVILLE CREEK RD VILAS, North Carolina 28692 Map It | 1981 LINVILLE CREEK RD VILAS, North Carolina 28692 Map It | The following materials are required to complete your application:
| WARD-REBATE1.pdf | ||||||||||||||||||||||||||||||||||||||||||
| 2024-12527693 | Tim Cooke | PO Box 301 Newland, North Carolina 28657 Map It | PO Box 301 Newland, North Carolina 28657 Map It | Blue Ridge Propane, Inc. | (828) 733-3603 | Email hidden; Javascript is required. | 1 | Submitted | 12/09/2024 | 12/09/2024 | Replacement or New Appliance | No | 1 | New Installation | Room Heater ($150.00) | Rinnai | EX38DTP | SG-LB-010724 | 12/09/2024 | Cooke-12.9.2024.pdf | $150.00 | Tim Cooke | (828) 387-7207 | PO Box 301 Newland, North Carolina 28657 Map It | 3120 Cow Camp Road Newland, North Carolina 28657 Map It | The following materials are required to complete your application:
| Cooke-12.9.20241.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-41115028 | Charles Brickhouse | Email hidden; Javascript is required. | 670 S. Pleasant Coats Rd Benson, North Carolina 27504 Map It | 670 S. Pleasant Coats Rd Benson, North Carolina 27504 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 4 | Submitted | 12/06/2024 | 12/06/2024 | Replacement or New Appliance | No | 1 | New Installation | Tankless Water Heater ($300.00) | Rinnai | RU180ip | PD.BA-079285 | 12/06/2024 | Brickhouse-rebate.pdf | $300.00 | Charles Brickhouse | (919) 437-5249 | Email hidden; Javascript is required. | 670 S. Pleasant Coats Rd Benson, North Carolina 27504 Map It | 670 S. Pleasant Coats Rd Benson, North Carolina 27504 Map It | The following materials are required to complete your application:
| Brickhouse-rebate1.pdf | |||||||||||||||||||||||||||||||||||||||||||
| 2024-68563856 | Tim Murray | Email hidden; Javascript is required. | 5655 THOM RD Mebane, North Carolina 27302 Map It | 5655 THOM RD Mebane, North Carolina 27302 Map It | Euliss Propane | (336) 622-3055 | Email hidden; Javascript is required. | 4 | Submitted | 12/06/2024 | 08/20/2024 | New Construction | No | 2 | Dual Fuel Heat Pump ($400.00) | American Standard | 59X2B060U4P5BAB | 24323R7RKG | 12/05/2024 | Tankless Water Heater ($300.00) | Rinnai | RE199I | SJ.UA-132019 | 12/05/2024 | $700.00 | Tim Murray | (336) 639-0391 | Email hidden; Javascript is required. | 5655 THOM RD Mebane, North Carolina 27302 Map It | 5655 THOM RD Mebane, North Carolina 27302 Map It | The following materials are required to complete your application:
| Tim Murray | ||||||||||||||||||||||||||||||||||||||||
| 2024-16505227 | WENDY BOWMAN | 1920 REYNOLDS ROAD MADISON, North Carolina 27025 Map It | 1920 REYNOLDS ROAD MADISON, North Carolina 27025 Map It | G&B Energy | (336) 368-3678 | Email hidden; Javascript is required. | 5 | Submitted | 12/05/2024 | 12/05/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Room Heater ($150.00) | KOZY HEAT | CSK-34-L | 24-737036-16 | 12/05/2024 | WENDY-BOWMAN.pdf | $150.00 | WENDY BOWMAN | (336) 348-4592 | 1920 REYNOLDS ROAD MADISON, North Carolina 27025 Map It | 1920 REYNOLDS ROAD MADISON, North Carolina 27025 Map It | The following materials are required to complete your application:
| WENDY-BOWMAN1.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-20748419 | Magnolia Baptist Church | PO BOX 96 MAGNOLIA, North Carolina 28453 Map It | PO BOX 96 MAGNOLIA, North Carolina 28453 Map It | SMITH BROTHERS GAS COMPANY | (910) 284-3309 | Email hidden; Javascript is required. | 7 | Submitted | 12/04/2024 | 12/04/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Dual Fuel Heat Pump ($400.00) | TRANE | 4YOC4030E1070A | 2441095FA | 12/04/2024 | MAGBAPTISTINVOICEGASPACK.pdf | $400.00 | Magnolia Baptist Church | (910) 289-2275 | PO BOX 96 MAGNOLIA, North Carolina 28453 Map It | PO BOX 96 MAGNOLIA, North Carolina 28453 Map It | The following materials are required to complete your application:
| MAGBAPTISTAPPREBATEFORM.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-57246923 | MIKE LEE | Email hidden; Javascript is required. | 207 DEER TAIL LANE FUQUAY-VARINA, North Carolina 27526 Map It | 207 DEER TAIL LANE FUQUAY-VARINA, North Carolina 27526 Map It | K.B. Johnson Oil & Gas Co. | (919) 552-8474 | Email hidden; Javascript is required. | 5 | Submitted | 12/06/2024 | 12/06/2024 | New Construction | No | 3 | Furnace ($400.00) | LENNOX | CK40HT-30B-01 | 1524F07118 | 12/06/2024 | Tankless Water Heater ($300.00) | RINNAI | RE199i | SC.UA-033175 | 12/06/2024 | Cook Top/Range ($50.00) | ELECTROLUX | FPGC3677RSJ | 1F40390575 | 12/06/2024 | $750.00 | MIKE LEE | (919) 338-4056 | Email hidden; Javascript is required. | 207 DEER TAIL LANE FUQUAY-VARINA, North Carolina 27526 Map It | 207 DEER TAIL LANE FUQUAY-VARINA, North Carolina 27526 Map It | The following materials are required to complete your application:
| TRIPLE A HOMES | |||||||||||||||||||||||||||||||||||
| 2024-88098826 | Jim Moore | Jim Moore 392 McGhee Rd Chapel Hill, North Carolina 27517 Map It | Jim Moore 392 McGhee Rd Chapel Hill, North Carolina 27517 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 2 | Submitted | 12/09/2024 | 12/09/2024 | New Construction | No | 1 | Tankless Water Heater ($300.00) | Navian | NPE240A2 | 208702460773094 | 12/09/2024 | new-construction.pdf | $300.00 | Jim Moore | (919) 360-4691 | Jim Moore 392 McGhee Rd Chapel Hill, North Carolina 27517 Map It | Jim Moore 199 Fearrington Post POittsbore, North Carolina 27312 Map It | The following materials are required to complete your application:
| Ange Builiders | ||||||||||||||||||||||||||||||||||||||||||||||
| 2024-15944719 | Abinav Rao Vodela | 139 Saucer St Garner, North Carolina 27525 Map It | 139 Saucer St Garner, North Carolina 27525 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 2 | Submitted | 12/09/2024 | 12/09/2024 | New Construction | No | 1 | Cook Top/Range ($50.00) | GE | WEG745H0L25 | RD2724157 | 12/09/2024 | new-construction1.pdf | $50.00 | Abinav Rao Vodela | (940) 205-7773 | 139 Saucer St Garner, North Carolina 27525 Map It | 139 Saucer St Garner, North Carolina 27525 Map It | The following materials are required to complete your application:
| New Home Inc | ||||||||||||||||||||||||||||||||||||||||||||||
| 2024-78560782 | JOSEPH PIETRAFESA | Email hidden; Javascript is required. | 292 HUNTINGTON ROAD LAKE LURE, North Carolina 28746 Map It | 292 HUNTINGTON ROAD LAKE LURE, North Carolina 28746 Map It | Superior Plus Propane | (864) 582-5475 | Email hidden; Javascript is required. | 29 | Submitted | 11/12/2024 | 10/29/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($300.00) | RINNAI | RUCS75iP | RG.CA-014173 | 11/12/2024 | $300.00 | JOSEPH PIETRAFESA | (561) 284-4106 | Email hidden; Javascript is required. | 292 HUNTINGTON ROAD LAKE LURE, North Carolina 28746 Map It | 292 HUNTINGTON ROAD LAKE LURE, North Carolina 28746 Map It | The following materials are required to complete your application:
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| 2024-15535728 | CLARK LANGLEY | Email hidden; Javascript is required. | 339 FAIRFOREST DR RUTHERFORDTON, North Carolina 28139 Map It | 339 FAIRFOREST DR RUTHERFORDTON, North Carolina 28139 Map It | Superior Plus Propane | (864) 582-5475 | Email hidden; Javascript is required. | 9 | Submitted | 12/03/2024 | 11/26/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($300.00) | RINNAI | RE180IP | SG.UA093745 | 12/03/2024 | $300.00 | CLARK LANGLEY | (954) 608-2120 | Email hidden; Javascript is required. | 339 FAIRFOREST DR RUTHERFORDTON, North Carolina 28139 Map It | 339 FAIRFOREST DR RUTHERFORDTON, North Carolina 28139 Map It | The following materials are required to complete your application:
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| 2024-11473347 | CAROLYN & DAVID DEBRUHL | Email hidden; Javascript is required. | 250 NANZETTA WAY LEWISVILLE, North Carolina 27023 Map It | 250 NANZETTA WAY LEWISVILLE, North Carolina 27023 Map It | G&B Energy | (336) 998-9748 | Email hidden; Javascript is required. | 3 | Submitted | 12/09/2024 | 12/09/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($300.00) | RINNAI | R94IP | RMUA159899 | 12/09/2024 | 20241211120916608.pdf | $300.00 | CAROLYN & DAVID DEBRUHL | (843) 368-1867 | Email hidden; Javascript is required. | 250 NANZETTA WAY LEWISVILLE, North Carolina 27023 Map It | 250 NANZETTA WAY LEWISVILLE, North Carolina 27023 Map It | The following materials are required to complete your application:
| 20241211120916608-1.pdf | |||||||||||||||||||||||||||||||||||||||||||
| 2024-62274189 | Richard Hines | Email hidden; Javascript is required. | 4035 Pine Arch Way New Hill, North Carolina 27562 Map It | 4035 Pine Arch Way New Hill, North Carolina 27562 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 1 | Submitted | 12/11/2024 | 12/11/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($300.00) | Rinnai | RE199IP | SB.UA-018568 | 12/11/2024 | Hines-invoice.pdf | $300.00 | Richard Hines | (919) 522-8920 | Email hidden; Javascript is required. | 4035 Pine Arch Way New Hill, North Carolina 27562 Map It | 4035 Pine Arch Way New Hill, North Carolina 27562 Map It | The following materials are required to complete your application:
| Hines-invoice1.pdf | |||||||||||||||||||||||||||||||||||||||||||
| 2024-28572633 | Shannin Biggs | Shannon Biggs 8724 Maxine St Willow Spring, North Carolina 27592 Map It | Shannon Biggs 8724 Maxine St Willow Spring, North Carolina 27592 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 1 | Submitted | 12/11/2024 | 12/11/2024 | New Construction | No | 1 | Cook Top/Range ($50.00) | Frigidaire | FCFG3062ASA | VF42300669 | 12/11/2024 | new-construction2.pdf | $50.00 | Shannin Biggs | (301) 366-1959 | Shannon Biggs 8724 Maxine St Willow Spring, North Carolina 27592 Map It | Shannon Biggs 8724 Maxine St Willow Spring, North Carolina 27592 Map It | The following materials are required to complete your application:
| New Home Inc | ||||||||||||||||||||||||||||||||||||||||||||||
| 2024-18409917 | RICHARD STANLEY | Email hidden; Javascript is required. | 10 MARINA ST STE A-3 WRIGHSVILLE BEACH, North Carolina 28480 Map It | 10 MARINA ST STE A-3 WRIGHSVILLE BEACH, North Carolina 28480 Map It | APPALACHIAN ENERGY | (828) 262-3637 | Email hidden; Javascript is required. | 9 | Submitted | 12/03/2024 | 12/03/2024 | Replacement or New Appliance | Yes | Watauga | 1 | Replacement Installation | Tankless Water Heater ($600.00) | RINNAI | RX199IN | SG.BA-111466 | 12/03/2024 | STANLEY-REBATE.pdf | $600.00 | RICHARD STANLEY | (910) 297-4444 | Email hidden; Javascript is required. | 10 MARINA ST STE A-3 WRIGHSVILLE BEACH, North Carolina 28480 Map It | 104 GALAX LN BEECH MOUNTAIN, North Carolina 28604 Map It | The following materials are required to complete your application:
| STANLEY-REBATE1.pdf | ||||||||||||||||||||||||||||||||||||||||||
| 2024-12147653 | Bobby Diggs | 2446 Pea Ridge Road New Hill, North Carolina 27562 Map It | 2446 Pea Ridge Road New Hill, North Carolina 27562 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 2 | Submitted | 12/11/2024 | 12/10/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Tankless Water Heater ($300.00) | Rinnai | Re199E | RDUA-050586 | 12/10/2024 | $300.00 | Bobby Diggs | (919) 353-5718 | 2446 Pea Ridge Road New Hill, North Carolina 27562 Map It | 2446 Pea Ridge Road New Hill, North Carolina 27562 Map It | The following materials are required to complete your application:
| Diggs-water-heater-receipt1.pdf | ||||||||||||||||||||||||||||||||||||||||||||||
| 2024-16600005 | BOBBIE CONNIE | 3371 GROVE LN ROCKY MOUNT, North Carolina 27804 Map It | 3371 GROVE LN ROCKY MOUNT, North Carolina 27804 Map It | Super Flame Gas Company Inc | (252) 446-6188 | Email hidden; Javascript is required. | 7 | Submitted | 12/06/2024 | 12/06/2024 | Replacement or New Appliance | No | 2 | Replacement Installation | Furnace ($400.00) | AMERICAN STANDARD | 4YCZ5048E1090AA | 24417379FA | 12/06/2024 | BOBBIE-CONNIE-REBATE.pdf | Furnace ($400.00) | AMERICAN STANDARD | 4YCZ5048E1090AA | 24417382FA | 12/06/2024 | BOBBIE-CONNIE-REBATE1.pdf | $800.00 | BOBBIE CONNIE | (252) 446-6188 | 3371 GROVE LN ROCKY MOUNT, North Carolina 27804 Map It | 3371 GROVE LN ROCKY MOUNT, North Carolina 27804 Map It | The following materials are required to complete your application:
| BOBBIE-CONNIE-REBATE2.pdf | |||||||||||||||||||||||||||||||||||||||
| 2024-60338067 | GEORGE FINK | Email hidden; Javascript is required. | 1025 KEPLEY RD SALISBURY, North Carolina 28147 Map It | 1025 KEPLEY RD SALISBURY, North Carolina 28147 Map It | G&B ENERGY | (704) 873-4747 | Email hidden; Javascript is required. | 10 | Submitted | 12/03/2024 | 12/03/2024 | Replacement or New Appliance | No | 1 | New Installation | Tankless Water Heater ($300.00) | RINNAI | REU-VC2528FFUD-US (A) -P | PH. CA-127131 | 12/03/2024 | GEORGE_FINK_WATER_HEATER_REBATE.pdf | $300.00 | GEORGE FINK | (704) 636-4883 | Email hidden; Javascript is required. | 1025 KEPLEY RD SALISBURY, North Carolina 28147 Map It | 1025 KEPLEY RD SALISBURY, North Carolina 28147 Map It | The following materials are required to complete your application:
| GEORGE_FINK_WATER_HEATER_REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||
| 2024-38141118 | GUILLERMO MARTINEZ | Email hidden; Javascript is required. | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | K.B. Johnson Oil & Gas Co. | (919) 552-8474 | Email hidden; Javascript is required. | 4 | Submitted | 12/09/2024 | 12/09/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Cook Top/Range ($50.00) | SAMSUNG | NX60A6511SS | OJ4V7DAX701497H | 12/09/2024 |  | $50.00 | GUILLERMO MARTINEZ | (919) 924-7515 | Email hidden; Javascript is required. | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | The following materials are required to complete your application:
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| 2024-63224054 | TREVOR WANAMAKER | Email hidden; Javascript is required. | 4692 ASHLEY DR BATTLEBORO, Nebraska 27809 Map It | 4692 ASHLEY DR BATTLEBORO, Nebraska 27809 Map It | Super Flame Gas Company Inc | (252) 446-6188 | Email hidden; Javascript is required. | 1 | Submitted | 12/12/2024 | 12/12/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Furnace ($400.00) | RHEEM | RGEAZR036AJT101NA | F412400267 | 12/12/2024 | TREVOR-WANAMAKER.pdf | $400.00 | TREVOR WANAMAKER | (864) 361-5716 | Email hidden; Javascript is required. | 4692 ASHLEY DR BATTLEBORO, Nebraska 27809 Map It | 4692 ASHLEY DR BATTLEBORO, Nebraska 27809 Map It | The following materials are required to complete your application:
| TREVOR-WANAMAKER1.pdf | |||||||||||||||||||||||||||||||||||||||||||
| 2024-12355463 | GUILLERMO MARTINEZ | Email hidden; Javascript is required. | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | K.B. Johnson Oil & Gas Co. | (919) 552-8474 | Email hidden; Javascript is required. | 4 | Submitted | 12/09/2024 | 12/02/2024 | Replacement or New Appliance | No | 1 | Replacement Installation | Cook Top/Range ($50.00) | MONOGRAM | NX60A6511SS | OJ4V7DAX701497H | 12/09/2024 |  | $50.00 | GUILLERMO MARTINEZ | (919) 924-7515 | Email hidden; Javascript is required. | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | 5705 HILLTOP RD FUQUAY-VARINA, North Carolina 27526 Map It | The following materials are required to complete your application:
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| Invoice # | Recipient Name | Customer / Recipient Email | Mailing Address | Installation Address | Company Name | Company Phone | Company Email | Application Age | Rebate Status | Rebate Expiration | Safety Inspection Date | Purchase/Invoice Date | Type of Installation | Were you affected by hurricane Helene? | What county do you live in? | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #2 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #3 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #4 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #5 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Total | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
