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
2024-86360175JENNIFER MUSTIANEmail hidden; Javascript is required.2100 PINEY GROVE WILBON RD.
HOLLY SPRINGS, North Carolina 27540
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2100 PINEY GROVE WILBON RD.
HOLLY SPRINGS, North Carolina 27540
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.7Submitted12/06/202410/29/2024Replacement or New ApplianceNo1ConversionFurnace ($400.00)TRANE4TXCB004DS3HCCV2431UEBC12/06/2024
  • Upload Receipt
  • Upload Receipt
$400.00JENNIFER MUSTIAN(919) 345-5914Email hidden; Javascript is required.2100 PINEY GROVE WILBON RD.
HOLLY SPRINGS, North Carolina 27540
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2100 PINEY GROVE WILBON RD.
HOLLY SPRINGS, North Carolina 27540
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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:
  • Upload Proof of Purchase:
2024-18430349VICTOR BELTRANEmail hidden; Javascript is required.3833 COBBLE VIEW WAY
FUQUAY-VARINA, North Carolina 27526
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3833 COBBLE VIEW WAY
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.2Submitted12/12/202412/12/2024New ConstructionNo3Furnace ($400.00)LENNOXCK40HT-24B-011524K01712/12/2024Tankless Water Heater ($300.00)RINNAIRXP199iSC.BA-04314612/12/2024Cook Top/Range ($50.00)MONOGRAMZGP366NT2SSRZ903483P12/12/2024$750.00VICTOR BELTRAN(910) 584-3274Email hidden; Javascript is required.3833 COBBLE VIEW WAY
FUQUAY-VARINA, North Carolina 27526
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3833 COBBLE VIEW WAY
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)
GEMSTONE HOMES
2024-54935030KEN SAWYEREmail hidden; Javascript is required.2001 JAREDS POND RD.
PLEASANT GARDEN, North Carolina 27313
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2001 JAREDS POND RD.
PLEASANT GARDEN, North Carolina 27313
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.4Submitted12/10/202411/20/2024Replacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($300.00)RINNAIREU-VE2432FFD-USPJ.UA-07719712/10/2024Invoice4.pdf$300.00KEN SAWYER(336) 324-6281Email hidden; Javascript is required.2001 JAREDS POND RD.
PLEASANT GARDEN, North Carolina 27313
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2001 JAREDS POND RD.
PLEASANT GARDEN, North Carolina 27313
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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)
Invoice5.pdf
2024-10207924Allison JohnsonEmail hidden; Javascript is required.55 Griffin Rd
Snow Camp, North Carolina 27349
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55 Griffin Rd
Snow Camp, North Carolina 27349
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L & M Nicholson Heating and Air, Inc.(336) 376-9998Email hidden; Javascript is required.3Submitted12/11/202412/11/2024Replacement or New ApplianceNo1Replacement InstallationFurnace ($400.00)TraneS9B1C080U5PSAAB2431352EJG12/11/2024Allison-Johnson-Invoice-48325258.pdf$400.00Allison Johnson(919) 548-8355Email hidden; Javascript is required.55 Griffin Rd
Snow Camp, North Carolina 27349
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55 Griffin 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)
Allison-Johnson-Invoice-483252581.pdf
2024-72992512Zachery DouglasEmail hidden; Javascript is required.647 FERN CREEK TRAIL
Pittsboro, North Carolina 27316
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647 FERN CREEK TRAIL
Pittsboro, North Carolina 27316
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.2Submitted12/12/202411/07/2024New ConstructionNo4Dual Fuel Heat Pump ($400.00)TempstarN92MSN0701412A2A24312091612/12/2024Dual Fuel Heat Pump ($400.00)TempstarN92MSN0801716A1A24376330112/12/2024Dual Fuel Heat Pump ($400.00)TempstarN92MSN0401412A1A24306167812/12/2024Cook Top/Range ($50.00)CafeCGP70362N2S1FZ111968Q12/12/2024$1,250.00Zachery Douglas(256) 590-4172Email hidden; Javascript is required.647 FERN CREEK TRAIL
Pittsboro, North Carolina 27316
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647 FERN CREEK TRAIL
Pittsboro, North Carolina 27316
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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.R. Spainhour Custom Homes
2024-89133126VERN TUBBSEmail hidden; Javascript is required.98 MASON RIDGE DR
BRYSON CITY, North Carolina 28713
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98 MASON RIDGE DR
BRYSON CITY, North Carolina 28713
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Superior Plus Propane(864) 582-5475Email hidden; Javascript is required.3Submitted12/11/202411/26/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RINNAIRL75IPPFCA-08542812/11/2024INVOICE-B2D6BDC3-06C3-4B12-8633-79A4304EA161.PDF$300.00VERN TUBBS(706) 325-1260Email hidden; Javascript is required.98 MASON RIDGE DR
BRYSON CITY, North Carolina 28713
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98 MASON RIDGE DR
BRYSON CITY, North Carolina 28713
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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)
VERN-TUBBS-RECEIPT.pdf
2024-93215907VIVIAN HOLBROOKS8701 JEFFERSON CHURCH ROAD
RURAL HALL, North Carolina 27045
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8701 JEFFERSON CHURCH ROAD
RURAL HALL, North Carolina 27045
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G&B Energy(336) 368-3678Email hidden; Javascript is required.19Submitted11/25/202411/11/2024Replacement or New ApplianceNo1Replacement InstallationFurnace ($400.00)CARRIER59TP6C040V14-104024a4965911/11/2024VIVIAN-HOLBROOKS.pdf$400.00VIVIAN HOLBROOKS(336) 978-45738701 JEFFERSON CHURCH ROAD
RURAL HALL, North Carolina 27045
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8701 JEFFERSON CHURCH ROAD
RURAL HALL, North Carolina 27045
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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)
VIVIAN-HOLBROOKS1.pdf
2024-95428441DAWG HOUSE SALON JENKINSEmail hidden; Javascript is required.1477 SMOKEY PARK HWY
CANDLER, North Carolina 28715
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1477 SMOKEY PARK HWY
CANDLER, North Carolina 28715
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.1Submitted12/14/202412/14/2024Replacement or New ApplianceYesBuncombe1Replacement InstallationTankless Water Heater ($600.00)RINNAIRE160IPSE.UA-07595412/14/2024Invoice-4CCC00C6-5CD6-4A5C-8A96-9E86EF038CCCDAWGHOUSE.pdf$600.00DAWG HOUSE SALON JENKINS(828) 667-9177Email hidden; Javascript is required.1477 SMOKEY PARK HWY
CANDLER, North Carolina 28715
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1477 SMOKEY PARK HWY
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-4CCC00C6-5CD6-4A5C-8A96-9E86EF038CCCDAWGHOUSE1.pdf
2024-25442549STEVE MCCURRYEmail hidden; Javascript is required.95 SHAROM RD
FAIRVIEW, North Carolina 28730
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95 SHAROM RD
FAIRVIEW, North Carolina 28730
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.1Submitted12/14/202412/03/2024New ConstructionNo1Tankless Water Heater ($300.00)RINNAIRX199INSC.BA-03458812/13/2024Invoice-B0B0CE89-DE81-4749-93AE-0E06E7194AACMCCURRY.pdf$300.00STEVE MCCURRY(828) 552-2255Email hidden; Javascript is required.95 SHAROM RD
FAIRVIEW, North Carolina 28730
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95 SHAROM RD
FAIRVIEW, North Carolina 28730
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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)
BLOSSMAN GAS
2024-13537476Timothy thomasEmail hidden; Javascript is required.172 w Turner St
Norwood, North Carolina 28128
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172 w Turner St
Norwood, North Carolina 28128
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Superior Plus Propane(864) 582-5475Email hidden; Javascript is required.4Submitted12/13/202412/12/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)Rinnai160E21pk.ua-11140612/13/2024Scan2024-12-16_133953.pdf$300.00Timothy thomas(704) 438-5116Email hidden; Javascript is required.172 w Turner St
Norwood, North Carolina 28128
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po box 1496
Norwood, North Carolina 28128
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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)
Scan2024-12-16_1339531.pdf
2024-96758088DUSTIN SIMPSONEmail hidden; Javascript is required.1050 HOLLAND RD
FUQUAY-VARINA, North Carolina 27526
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1050 HOLLAND RD
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.5Submitted12/12/202412/10/2024Replacement or New ApplianceNo1New InstallationFurnace ($400.00)TRANE4YCC4036A1070A214113272L12/12/2024Upload Receipt$400.00DUSTIN SIMPSON(919) 669-9634Email hidden; Javascript is required.1050 HOLLAND RD
FUQUAY-VARINA, North Carolina 27526
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1050 HOLLAND RD
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:
2024-21407801THERESA GOSSELINEmail hidden; Javascript is required.3290 LOOP RD
NASHVILLE, North Carolina 27856
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3290 LOOP RD
NASHVILLE, North Carolina 27856
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Super Flame Gas Company Inc(252) 446-6188Email hidden; Javascript is required.5Submitted12/12/202412/12/2024Replacement or New ApplianceNo1Replacement InstallationFurnace ($400.00)ComfortmakerPGD430060K000K1F2464889112/12/2024THERESA-GOSSELIN-RECEIPT.pdf$400.00THERESA GOSSELIN(252) 813-2616Email hidden; Javascript is required.3290 LOOP RD
NASHVILLE, North Carolina 27856
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3290 LOOP RD
NASHVILLE, North Carolina 27856
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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)
THERESA-GOSSELIN-RECEIPT1.pdf
2024-69376348Mark MatthewsMark
Matthews
98 Wisteria Ln, North Carolina 27523
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Mark
Matthews
98 Wisteria Ln, North Carolina 27523
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L.G. Jordan Oil Co., Inc.(919) 362-8388Email hidden; Javascript is required.2Submitted12/16/202412/16/2024Replacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($300.00)RinnaiRXP199iSB.BA-02580912/16/2024Matthews-rebate.pdf$300.00Mark Matthews(919) 531-9398Mark
Matthews
98 Wisteria Ln, North Carolina 27523
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Mark
Matthews
98 Wisteria Ln, North Carolina 27523
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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)
Matthews-invoice.pdf
2024-21327745Susan MorrisEmail hidden; Javascript is required.488 Womble Rd
Sanford, North Carolina 27330
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488 Womble Rd
Sanford, North Carolina 27330
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Hunter Oil & Propane(919) 775-5651Email hidden; Javascript is required.2Submitted12/16/202411/16/2024Replacement or New ApplianceNo1Replacement InstallationCook Top/Range ($50.00)SamsungNSG8500SRAAOLN07DAX502378M12/16/2024S-Morris-rebate.pdf$50.00Susan Morris(919) 935-4089Email hidden; Javascript is required.488 Womble Rd
Sanford, North Carolina 27330
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488 Womble Rd
Sanford, North Carolina 27330
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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)
S-Morris-rebate1.pdf
2024-14400610MATTHEW WALKEREmail hidden; Javascript is required.2349 SAWDUST DR
GEORGETOWN, Texas 78633
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2349 SAWDUST DR
GEORGETOWN, Texas 78633
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McNeill Oil and Propane(910) 944-2329Email hidden; Javascript is required.13Submitted12/05/202412/03/2024Replacement or New ApplianceNo1Replacement InstallationStorage-Type Water Heater ($300.00)BRADFORDRG2DV5056XZB5088534812/03/2024matthew-walker.pdf$300.00MATTHEW WALKER(601) 212-4921Email hidden; Javascript is required.2349 SAWDUST DR
GEORGETOWN, Texas 78633
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450 KERR LAKE ROAD
ABERDEEN, North Carolina 28315
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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)
matthew-walker1.pdf
2024-13058765GLEN CAVENAUGHPO BOX 665
WALLACE, North Carolina 28466
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PO BOX 665
WALLACE, North Carolina 28466
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SMITH BROTHERS GAS COMPANY(910) 284-3309Email hidden; Javascript is required.2Submitted12/16/202412/16/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RINNAIRE180EPPG.UA-05115012/16/2024glencavenaughinvoice2024.pdf$300.00GLEN CAVENAUGH(910) 289-5602PO BOX 665
WALLACE, North Carolina 28466
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PO BOX 665
WALLACE, North Carolina 28466
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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)
glencavenaughrebateform2024.pdf
2024-51751354Michael CannonEmail hidden; Javascript is required.4110 Winding Oaks Trail
Lewisville, North Carolina 27023
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4110 Winding Oaks Trail
Lewisville, North Carolina 27023
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Blue Ridge Energy, LLC(828) 758-4401Email hidden; Javascript is required.9Submitted12/09/202409/06/2024Replacement or New ApplianceNo1ConversionTankless Water Heater ($300.00)RinnaiRX199iSF.BA-09439112/09/2024Cargas-Scan.pdf$300.00Michael Cannon(336) 403-9265Email hidden; Javascript is required.4110 Winding Oaks Trail
Lewisville, North Carolina 27023
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318 Falls Creek Rd
Todd, North Carolina 28684
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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)
Cargas-Scan1.pdf
2024-12325202Maxton Holiness Methodist ChurchPo Box 2312
Pembroke, North Carolina 28372
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Po Box 2312
Pembroke, North Carolina 28372
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Quality Oil and Gas Company of Laurinburg(910) 276-6045Email hidden; Javascript is required.13Submitted12/05/202411/27/2024Replacement or New ApplianceNo1Replacement InstallationCook Top/Range ($50.00)FRIGIDAIREFCRG3052ABCVF2201471612/05/2024Maxton-Holiness-payment-and-invoice.pdf$50.00Maxton Holiness Methodist Church(910) 736-2306Po Box 2312
Pembroke, North Carolina 28372
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Maxton Holiness Methodist Church C/O Allen Oxendine
704 Baldwin St
Maxton, North Carolina 28364
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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)
2024-12386205Bruce Niemeyer1244 Ashley Rd
Yadkinville, North Carolina 27055
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1244 Ashley Rd
Yadkinville, North Carolina 27055
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G & B Energy(336) 835-3607Email hidden; Javascript is required.7Submitted12/11/202412/11/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RinnaiRL75ipf.ca-08475612/11/2024BRNB42200A94A58_001889.pdf$300.00Bruce Niemeyer(336) 469-12211244 Ashley Rd
Yadkinville, North Carolina 27055
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1244 Ashley Rd
Yadkinville, North Carolina 27055
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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)
BRNB42200A94A58_0018891.pdf
2024-32052881Deborah QuickEmail hidden; Javascript is required.12480 Windemere Dr
laurinurg, North Carolina 28352
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12480 Windemere Dr
laurinurg, North Carolina 28352
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Quality Oil and Gas Company of Laurinburg(910) 276-6045Email hidden; Javascript is required.6Submitted12/12/202411/29/2024Replacement or New ApplianceNo1Replacement InstallationCook Top/Range ($50.00)whirlpoolWFGS5030RZRD321343712/12/2024Quick-purchase-receipt-12.12.pdf$50.00Deborah Quick(910) 384-5964Email hidden; Javascript is required.12480 Windemere Dr
laurinurg, North Carolina 28352
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12480 Windemere Dr
laurinurg, North Carolina 28352
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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)
2024-31472797Michael MonroeMichael Monore
19844 Salley McNair Road
LAURINBURG, North Carolina 28352
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Michael Monore
19844 Salley McNair Road
LAURINBURG, North Carolina 28352
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Quality Oil and Gas Company of Laurinburg(910) 276-6045Email hidden; Javascript is required.9Submitted12/09/202412/06/2024Replacement or New ApplianceNo1Replacement InstallationDual Fuel Heat Pump ($400.00)GoodmanGPGM32406041AB240550060512/09/2024$400.00Michael Monroe(910) 373-9013Michael Monore
19844 Salley McNair Road
LAURINBURG, North Carolina 28352
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Michael Monroe
1030 Shaw St
Laurinburg, North Carolina 28352
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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)
2024-34798211Susan Dunn112 Dale Adams Rd
Sugar Grove, North Carolina 28679
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112 Dale Adams Rd
Sugar Grove, North Carolina 28679
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Wallace Propane and Appliance Inc(828) 297-1115Email hidden; Javascript is required.15Submitted12/03/202411/13/2024Replacement or New ApplianceYesWatauga1Replacement InstallationFurnace ($800.00)RheemR951T0603A17M4SNASW32242221112/03/2024$800.00Susan Dunn(828) 964-2774112 Dale Adams Rd
Sugar Grove, North Carolina 28679
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112 Dale Adams 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)
Upload Proof of Purchase:
2024-11842305Jeff TriplettEmail hidden; Javascript is required.2610 TABERNACLE CHURCH RD
Pleasant Garden, North Carolina 2733
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2610 TABERNACLE CHURCH RD
Pleasant Garden, North Carolina 2733
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.5Submitted12/13/202412/04/2024New ConstructionNo1Tankless Water Heater ($300.00)NavienNPE-24052-NG2089Z235221925812/04/2024$300.00Jeff Triplett(336) 736-1950Email hidden; Javascript is required.2610 TABERNACLE CHURCH RD
Pleasant Garden, North Carolina 2733
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2610 TABERNACLE CHURCH RD
Pleasant Garden, North Carolina 2733
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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)
Jeff Triplett
2024-21470641TONY JOHNSONEmail hidden; Javascript is required.747 ROY C JACKSON RD
DUNN, North Carolina 28334
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747 ROY C JACKSON RD
DUNN, North Carolina 28334
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Sharp Energy Inc.(910) 892-8111Email hidden; Javascript is required.24Submitted11/25/202411/22/2024Replacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($300.00)RINNAIRE199EP21SC.UA-02642511/22/2024TONY-JOHNSON-RINNAI-WATER-HEATER-11-25-24.pdf$300.00TONY JOHNSON(919) 524-5485Email hidden; Javascript is required.747 ROY C JACKSON RD
DUNN, North Carolina 28334
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747 ROY C JACKSON RD
DUNN, North Carolina 28334
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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)
TONY-JOHNSON-RINNAI-WATER-HEATER-11-25-241.pdf
2024-26830279ralph gallEmail hidden; Javascript is required.91 oak hollow dr
asheville, North Carolina 28805
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91 oak hollow dr
asheville, North Carolina 28805
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.1Submitted12/18/202412/18/2024Replacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($300.00)rinnairxp199inse.ba-07980112/18/2024Invoice-9397C45D-F457-4180-A7EC-73BC28CD1230gall.pdf$300.00ralph gall(828) 989-4190Email hidden; Javascript is required.91 oak hollow dr
asheville, North Carolina 28805
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91 oak hollow 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-9397C45D-F457-4180-A7EC-73BC28CD1230gall1.pdf
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