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
2024-94030930CHUCK SCHILLINGEmail hidden; Javascript is required.115 CAROLINA MOUNTAIN DR.
CANDLER, North Carolina 28715
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115 CAROLINA MOUNTAIN DR.
CANDLER, North Carolina 28715
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.2Payment Sent09/11/202409/11/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RINNAIRE140IPSA.UA-00442709/11/2024schilling-rebate.pdf$300.00CHUCK SCHILLING(828) 290-4545Email hidden; Javascript is required.115 CAROLINA MOUNTAIN DR.
CANDLER, North Carolina 28715
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115 CAROLINA MOUNTAIN DR.
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)
schilling-rebate1.pdf
2024-19154366DANIEL GOMEZEmail hidden; Javascript is required.1830 NEELLEY RD
PLEASANT GARDEN, North Carolina 27313
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1830 NEELLEY RD
PLEASANT GARDEN, North Carolina 27313
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.3Payment Sent09/10/202407/05/2024New Construction3New ConstructionFurnace ($400.00)COMFORT MAKERN80MSN0902120A2A24012973808/30/2024Tankless Water Heater ($300.00)NAVIENNPE-240A22087D23X277649608/30/2024Cook Top/Range ($50.00)ZLINERT36RT366GE24040106-0608/30/2024$750.00DANIEL GOMEZ(770) 366-0232Email hidden; Javascript is required.1830 NEELLEY RD
PLEASANT GARDEN, North Carolina 27313
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1830 NEELLEY 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)
RICHARD DUNN
2024-92904130MARK JOHNSONEmail hidden; Javascript is required.1874 FORK CREEK MILL RD
SEAGROVE, North Carolina 27341
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1874 FORK CREEK MILL RD
SEAGROVE, North Carolina 27341
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.5Payment Sent09/09/202408/27/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRE-160EPSH.UA-11163409/09/2024Mark-Johnson-Rinnai-Invoice.pdf$300.00MARK JOHNSON(336) 872-1173Email hidden; Javascript is required.1874 FORK CREEK MILL RD
SEAGROVE, North Carolina 27341
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1874 FORK CREEK MILL RD
SEAGROVE, North Carolina 27341
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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)
Mark-Johnson-Rinnai-Invoice1.pdf
2024-94475519BRUCE REDLEREmail hidden; Javascript is required.170 OAKANOAH CT
BREVARD,, North Carolina 28712
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170 OAKANOAH CT
BREVARD,, North Carolina 28712
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G & B ENERGY(828) 891-7371Email hidden; Javascript is required.8Payment Sent09/06/202409/06/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIWHRX199INSD.BA-06300109/06/2024REDLER-REBATE.pdf$300.00BRUCE REDLER(843) 984-4710Email hidden; Javascript is required.170 OAKANOAH CT
BREVARD,, North Carolina 28712
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170 OAKANOAH CT
BREVARD,, North Carolina 28712
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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)
REDLER-REBATE1.pdf
2024-14281209MATTHEW JONESEmail hidden; Javascript is required.10678 W NC HIGHWAY 268
FERGUSON, North Carolina 28624
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10678 W NC HIGHWAY 268
FERGUSON, North Carolina 28624
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G&B ENERGY(336) 973-2411Email hidden; Javascript is required.9Payment Sent09/05/202409/05/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)NAVIENNPE-180A2077C234067617709/05/2024MATTHEW-JONES-SALES-INVOICE.pdf$300.00MATTHEW JONES(704) 281-3052Email hidden; Javascript is required.10678 W NC HIGHWAY 268
FERGUSON, North Carolina 28624
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10678 W NC HIGHWAY 268
FERGUSON, North Carolina 28624
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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-JONES-SALES-INVOICE1.pdf
2024-16900799BJ & JESSICA MCLEODEmail hidden; Javascript is required.PO BOX 84
WAUCHAULA, Florida 33873
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PO BOX 84
WAUCHAULA, Florida 33873
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G&B ENERGY(704) 873-4747Email hidden; Javascript is required.3Payment Sent09/11/202409/05/2024Replacement or New Appliance2Propane to PropaneRoom Heater ($150.00)KOZY HEATCSK-34-G24-737362-2609/05/2024INVOICE_BJ_MCLEOD.pdfRoom Heater ($150.00)KOZY HEATCSK-34-G24-737361-2609/05/2024INVOICE_BJ_MCLEOD1.pdf$300.00BJ & JESSICA MCLEOD(863) 781-1186Email hidden; Javascript is required.PO BOX 84
WAUCHAULA, Florida 33873
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9990 CALDWELL RD
MOUNT ULLA, North Carolina 28125
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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_BJ_MCLEOD2.pdf
2024-16085013DAVID HEYENSEmail hidden; Javascript is required.349 RESORTS BLVD
LAKETOXAWAY, North Carolina 28747
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349 RESORTS BLVD
LAKETOXAWAY, North Carolina 28747
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G & B ENERGY(828) 891-7371Email hidden; Javascript is required.5Payment Sent09/09/202409/09/2024New Construction1New ConstructionRoom Heater ($150.00)KOZY HEATKHCAR3916011651409/09/2024HEYENS-REBATE.pdf$150.00DAVID HEYENS(727) 741-9153Email hidden; Javascript is required.349 RESORTS BLVD
LAKETOXAWAY, North Carolina 28747
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4753 PEBBLE BROOK DR
OLDSMAR, Florida 34677
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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)
JASON JONES
2024-16126425TOM MANZIANOEmail hidden; Javascript is required.187 ROCK RIDGE RD
LAKE LURE, North Carolina 28746
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187 ROCK RIDGE RD
LAKE LURE, North Carolina 28746
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G & B ENERGY(828) 891-7371Email hidden; Javascript is required.12Payment Sent09/02/202409/02/2024New Construction1New ConstructionRoom Heater ($150.00)KOZY HEATKHBAY41L230361691809/02/2024MANZIANO-REBATE.pdf$150.00TOM MANZIANO(941) 284-6213Email hidden; Javascript is required.187 ROCK RIDGE RD
LAKE LURE, North Carolina 28746
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4200 BELAIR LN
NAPLES, Florida 34103
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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)
KEITH RIMER/RIMER CORP
2024-19560412June Wyatt Woody129 Wilson Road
Bakersville, North Carolina 28705
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129 Wilson Road
Bakersville, North Carolina 28705
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Blossman Gas(828) 682-2118Email hidden; Javascript is required.2Payment Sent09/12/202408/13/2024Replacement or New Appliance1Propane to PropaneRoom Heater ($150.00)RinnaiEX38DTPRC.LB-00575408/13/202428481170.pdf$150.00June Wyatt Woody(828) 766-0579129 Wilson Road
Bakersville, North Carolina 28705
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129 Wilson Road
Bakersville, North Carolina 28705
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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)
284811701.pdf
2024-64538425Daniel DaywaltEmail hidden; Javascript is required.523 Oakgrove Rd.
Asheboro, North Carolina 27205
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523 Oakgrove Rd.
Asheboro, North Carolina 27205
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Central Gas & Appliance, Inc.(336) 672-3336Email hidden; Javascript is required.4Payment Sent09/13/202408/04/2024Replacement or New Appliance1Electric ReplacementCook Top/Range ($50.00)GEGGF600AVISSGZ104301Q09/13/2024Daniel-Daywalt-Gas-Range-9.16.2024.pdf$50.00Daniel Daywalt(717) 962-5580Email hidden; Javascript is required.523 Oakgrove Rd.
Asheboro, North Carolina 27205
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523 Oakgrove Rd.
Asheboro, North Carolina 27205
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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)
Daniel-Daywalt-Gas-Range-9.16.20241.pdf
2024-11400342BRUCE DAVISEmail hidden; Javascript is required.53 ROYAL ELLA CT.
FUQUAY-VARINA, North Carolina 27526
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53 ROYAL ELLA CT.
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.1Incomplete10/30/202409/16/202407/27/2024Replacement or New Appliance1Electric ReplacementCook Top/Range ($50.00)KITCHEN AIDKFGD5000ESSDD071352509/16/2024Upload Receipt$50.00BRUCE DAVIS(505) 385-8377Email hidden; Javascript is required.53 ROYAL ELLA CT.
FUQUAY-VARINA, North Carolina 27526
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53 ROYAL ELLA CT.
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:
2024-80364235Cynthia ReedEmail hidden; Javascript is required.5677 7 LW
West End, North Carolina 27376
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5677 7 LW
West End, North Carolina 27376
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McNeill Oil and Propane(910) 944-2329Email hidden; Javascript is required.9Payment Sent09/10/202407/02/2024Replacement or New Appliance1New ConstructionCook Top/Range ($50.00)GEPGD7030SC3SS2100883Q09/10/2024$50.00Cynthia Reed(910) 639-0160Email hidden; Javascript is required.5677 7 LW
West End, North Carolina 27376
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236 Longleaf Dr.
West End, North Carolina 27376
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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)
Cynthia-Reed2.pdf
2024-16140734William Eddie VannoyEmail hidden; Javascript is required.119 Charter Place
Jefferson, North Carolina 28640
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119 Charter Place
Jefferson, North Carolina 28640
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Blue Ridge Energy, LLC(828) 758-4401Email hidden; Javascript is required.22Payment Sent08/28/202408/28/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RinnaiRE199SE.UA-06689908/28/2024Cargas-Scan.pdf$300.00William Eddie Vannoy(336) 846-7191Email hidden; Javascript is required.119 Charter Place
Jefferson, North Carolina 28640
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119 Charter Place
Jefferson, North Carolina 28640
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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
2024-84994348Glenn HaysEmail hidden; Javascript is required.389 Colonel Francis Rd
Crumpler, North Carolina 28617
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389 Colonel Francis Rd
Crumpler, North Carolina 28617
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Blue Ridge Energy, LLC(828) 758-4401Email hidden; Javascript is required.23Payment Sent08/27/202407/24/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RinnaiRE199iSE.UA-06469808/27/2024Cargas-Scan2.pdf$300.00Glenn Hays(980) 234-1899Email hidden; Javascript is required.389 Colonel Francis Rd
Crumpler, North Carolina 28617
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389 Colonel Francis Rd
Crumpler, North Carolina 28617
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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-Scan3.pdf
2024-10095541Donna Rives5307 Randleman Rd
Greensboro, North Carolina 27406
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5307 Randleman Rd
Greensboro, North Carolina 27406
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Central Gas & Appliance, Inc.(336) 672-3336Email hidden; Javascript is required.22Payment Sent08/30/202409/16/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RinnaiREP199EPLUA12413008/30/2024Donna-Rives-Water-Heater-9.16.24.pdf$300.00Donna Rives(336) 404-54585307 Randleman Rd
Greensboro, North Carolina 27406
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5307 Randleman Rd
Greensboro, North Carolina 27406
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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)
Donna-Rives-Water-Heater-9.16.241.pdf
2024-59027768Richard RoweEmail hidden; Javascript is required.6977 Greedy Hwy
Hickory, North Carolina 28602
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6977 Greedy Hwy
Hickory, North Carolina 28602
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Blue Ridge Energy, LLC(828) 758-4401Email hidden; Javascript is required.1Payment Sent09/20/202403/26/2024Replacement or New Appliance1Replacement InstallationRinnaiRE180IPSB.UA-02123409/20/2024Upload Receipt$0.00Richard Rowe(828) 358-7633Email hidden; Javascript is required.6977 Greedy Hwy
Hickory, North Carolina 28602
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6977 Greedy Hwy
Hickory, North Carolina 28602
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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:
2024-41505949Russ NelsonEmail hidden; Javascript is required.766 Walker Country Ln.
Asheboro, North Carolina 27205-2230
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766 Walker Country Ln.
Asheboro, North Carolina 27205-2230
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Central Gas & Appliance, Inc.(336) 672-3336Email hidden; Javascript is required.2Payment Sent09/19/202409/20/2024Replacement or New Appliance1Propane to PropaneTankless Water Heater ($300.00)RinnaiRE180EPSEUA-06744809/19/2024Russ-Nelson-Water-Heater-9.20.24.pdf$300.00Russ Nelson(336) 465-0037Email hidden; Javascript is required.766 Walker Country Ln.
Asheboro, North Carolina 27205-2230
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766 Walker Country Ln.
Asheboro, North Carolina 27205-2230
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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)
Russ-Nelson-Water-Heater-9.20.241.pdf
2024-44338535TODD COMBSEmail hidden; Javascript is required.1046 CASTLE FORD RD
BOONE, North Carolina 28607
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1046 CASTLE FORD RD
BOONE, North Carolina 28607
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APPALACHIAN ENERGY(828) 262-3637Email hidden; Javascript is required.9Payment Sent09/12/202409/12/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRX199INSB.BA-02370309/12/2024TODD-COMBS-612079.pdf$300.00TODD COMBS(828) 964-8616Email hidden; Javascript is required.1046 CASTLE FORD RD
BOONE, North Carolina 28607
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TBD LOT 7 COYOTE RIDGE
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)
TODD-COMBS-6120791.pdf
2024-55504595TODD COMBSEmail hidden; Javascript is required.1046 CASTLE FORD RD
BOONE, North Carolina 28607
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1046 CASTLE FORD RD
BOONE, North Carolina 28607
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APPALACHIAN ENERGY(828) 262-3637Email hidden; Javascript is required.5Payment Sent09/16/202409/16/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRE160IPRL.UA-15310409/16/2024TODD-COMBS-245648.pdf$300.00TODD COMBS(828) 964-8616Email hidden; Javascript is required.1046 CASTLE FORD RD
BOONE, North Carolina 28607
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1046 CASTLE FORD RD
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)
TODD-COMBS-2456481.pdf
2024-26968018TODD COMBSEmail hidden; Javascript is required.1046 CASTLE FORD RD
1046 CASTLE FORD RD
BOONE, North Carolina 28607
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1046 CASTLE FORD RD
1046 CASTLE FORD RD
BOONE, North Carolina 28607
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APPALACHIAN ENERGY(828) 262-3637Email hidden; Javascript is required.5Processing09/16/202409/16/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRE160IPPH.UA-07154809/16/2024TODD-COMBS-2456482.pdf$300.00TODD COMBS(828) 964-8616Email hidden; Javascript is required.1046 CASTLE FORD RD
1046 CASTLE FORD RD
BOONE, North Carolina 28607
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1046 CASTLE FORD RD
1046 CASTLE FORD RD
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)
TODD-COMBS-2456483.pdf
2024-62950789Mark and Tracy BurkhalterEmail hidden; Javascript is required.166 Finch Way
West Jefferson, North Carolina 28694
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166 Finch Way
West Jefferson, North Carolina 28694
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Blue Ridge Energy, LLC(828) 758-4401Email hidden; Javascript is required.26Payment Sent08/29/202407/09/2024New Construction1New ConstructionTankless Water Heater ($300.00)RinnaiRX130iSA.BA-01006208/29/2024Cargas-Scan4.pdf$300.00Mark and Tracy Burkhalter(803) 351-0583Email hidden; Javascript is required.166 Finch Way
West Jefferson, North Carolina 28694
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753 Murray Lindler Rd
Chapin, South Carolina 29036
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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)
Derek Ervin
2024-17008045KATYNA BUNNEmail hidden; Javascript is required.7928 TWIN PINES WAY
FUQUAY-VARINA, North Carolina 27526
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7928 TWIN PINES WAY
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.2Payment Sent09/23/202408/22/2024Replacement or New Appliance1Electric ReplacementCook Top/Range ($50.00)FRIGEDAIREPCFG3080AFBVF4287704409/23/2024
  • Upload Receipt
  • Upload Receipt
$50.00KATYNA BUNN(919) 796-1678Email hidden; Javascript is required.7928 TWIN PINES WAY
FUQUAY-VARINA, North Carolina 27526
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7928 TWIN PINES 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)
  • Upload Proof of Purchase:
  • Upload Proof of Purchase:
2024-19075847MALISSA FLANNERYEmail hidden; Javascript is required.4004 TRAVERSE DR
FUQUAY-VARINA, North Carolina 27526
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4004 TRAVERSE DR
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.7Payment Sent09/18/202409/18/2024Replacement or New Appliance1Electric ReplacementTankless Water Heater ($300.00)RINNAIRE180iPPJ.UA-07263009/18/2024
  • Upload Receipt
  • Upload Receipt
  • Upload Receipt
$300.00MALISSA FLANNERY(919) 792-7308Email hidden; Javascript is required.4004 TRAVERSE DR
FUQUAY-VARINA, North Carolina 27526
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4004 TRAVERSE 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:
  • Upload Proof of Purchase:
2024-50173915NOLAN REISSEmail hidden; Javascript is required.1086 SLICK ROCK RD
BREVARD, North Carolina 28712
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1086 SLICK ROCK RD
BREVARD, North Carolina 28712
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G & B ENERGY(828) 891-7371Email hidden; Javascript is required.5Payment Sent09/20/202409/20/2024Replacement or New Appliance1Propane to PropaneRoom Heater ($150.00)KOZY HEATCSK34L237362554809/20/2024RIESS-NC-REBATE.pdf$150.00NOLAN REISS(828) 407-6213Email hidden; Javascript is required.1086 SLICK ROCK RD
BREVARD, North Carolina 28712
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1086 SLICK ROCK RD
BREVARD, North Carolina 28712
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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)
RIESS-NC-REBATE1.pdf
2024-17536180STACY HANLONEmail hidden; Javascript is required.23 AVENTS CREEK WAY
FUQUAY-VARINA, North Carolina 27526
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23 AVENTS CREEK WAY
FUQUAY-VARINA, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.2Payment Sent09/23/202409/23/2024New Construction1New ConstructionCook Top/Range ($50.00)ELECTROLUXGCCG3648AS1F4029022309/23/2024$50.00STACY HANLON(984) 833-9990Email hidden; Javascript is required.23 AVENTS CREEK WAY
FUQUAY-VARINA, North Carolina 27526
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23 AVENTS CREEK 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)
NEW HOME INC.
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