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
2024-55390753CLEAMON EURE251 AIRPORT RD
CLINTON, North Carolina 28328
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251 AIRPORT RD
CLINTON, North Carolina 28328
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Parker Gas company(910) 323-8283Email hidden; Javascript is required.6Payment Sent10/24/202410/24/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RINNAIRE160ESH.UA-11162510/24/2024CLEAMON-EURE.pdf$300.00CLEAMON EURE(910) 990-9945251 AIRPORT RD
CLINTON, North Carolina 28328
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251 AIRPORT RD
CLINTON, North Carolina 28328
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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)
CLEAMON-EURE1.pdf
2024-11445492JOYCE CORE290 JONESBORO ROAD
DUNN, North Carolina 28334
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290 JONESBORO ROAD
DUNN, North Carolina 28334
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MCLAMBS LP GAS & SUPPLY(919) 894-3842Email hidden; Javascript is required.27Payment Sent10/03/202407/08/2024Replacement or New ApplianceNo1New InstallationFurnace ($400.00)RUUDRGEAZR048JT101NAF40230197309/26/2024$400.00JOYCE CORE(910) 985-2505290 JONESBORO ROAD
DUNN, North Carolina 28334
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290 JONESBORO ROAD
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)
2024-17052242TINA & EDWIN PETERSONEmail hidden; Javascript is required.7460 BROGDEN RD
SMITHFIELD, North Carolina 27577
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7460 BROGDEN RD
SMITHFIELD, North Carolina 27577
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Parker Gas company(910) 323-8283Email hidden; Javascript is required.20Payment Sent10/10/202410/10/2024Replacement or New ApplianceNo1New InstallationDual Fuel Heat Pump ($400.00)AMERICAN STANDARD4DC25036E1070AA24261221FA10/10/2024TINA-AND-EDWIN-PETERSON-REBATE00001.pdf$400.00TINA & EDWIN PETERSON(919) 209-0346Email hidden; Javascript is required.7460 BROGDEN RD
SMITHFIELD, North Carolina 27577
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7460 BROGDEN RD
SMITHFIELD, North Carolina 27577
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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)
TINA-AND-EDWIN-PETERSON-REBATE000011.pdf
2024-13010007Sally ZwadykEmail hidden; Javascript is required.145 Fairway Hills Ct
West Jefferson, North Carolina 28694
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145 Fairway Hills Ct
West Jefferson, North Carolina 28694
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Blue Ridge Energy, LLC(828) 758-4401Email hidden; Javascript is required.14Payment Sent10/16/202410/14/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RinnaiRE199SC.UA-02993010/14/2024Cargas-Scan8.pdf$300.00Sally Zwadyk(336) 466-4285Email hidden; Javascript is required.145 Fairway Hills Ct
West Jefferson, North Carolina 28694
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145 Fairway Hills Ct
West Jefferson, North Carolina 28694
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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-Scan9.pdf
2024-13779843BRIAN SMITHEmail hidden; Javascript is required.503 JUDGE SHARPE RD
GRAHAM, North Carolina 27253
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503 JUDGE SHARPE RD
GRAHAM, North Carolina 27253
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.30Payment Sent10/01/202405/17/2024Replacement or New ApplianceNo1New InstallationFurnace ($400.00)INTERNATIONAL COMFORTPGD448115K000KLF24074724109/13/2024Brian-Smith-Receipt.pdf$400.00BRIAN SMITH(336) 314-1933Email hidden; Javascript is required.503 JUDGE SHARPE RD
GRAHAM, North Carolina 27253
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503 JUDGE SHARPE RD
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)
Brian-Smith-Receipt1.pdf
2024-87994563jaime henriquezEmail hidden; Javascript is required.po box 1802
fletcher, North Carolina 28732
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po box 1802
fletcher, North Carolina 28732
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.87Payment Sent08/05/202408/05/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)rinnaire140ipsa.ua-00442608/05/2024Invoice-98B22BFB-DFDE-4A89-98A1-D778BC1A0AD8.pdf$300.00jaime henriquez(828) 545-6396Email hidden; Javascript is required.po box 1802
fletcher, North Carolina 28732
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64 n holly ln
fletcher, North Carolina 28732
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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-98B22BFB-DFDE-4A89-98A1-D778BC1A0AD81.pdf
2024-84050280Glenn ConeEmail hidden; Javascript is required.75 Zeb Alley Rd
Cashiers, North Carolina 28717
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75 Zeb Alley Rd
Cashiers, North Carolina 28717
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Freeman Gas(828) 743-9454Email hidden; Javascript is required.7Payment Sent10/24/202409/19/2024Replacement or New ApplianceYesJackson1New InstallationFurnace ($800.00)JOHNSON CONTROLSTM9E060A10MP12BW2K298962710/09/2024$800.00Glenn Cone(828) 507-6694Email hidden; Javascript is required.75 Zeb Alley Rd
Cashiers, North Carolina 28717
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75 Zeb Alley Rd
Cashiers, North Carolina 28717
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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)
Furnace-Receipt.pdf
2024-16989736DEBBIE HARDYEmail hidden; Javascript is required.9605 Walking Horse Ln.
Castalia, North Carolina 27816
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9605 Walking Horse Ln.
Castalia, North Carolina 27816
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Super Flame Gas Company Inc(252) 446-6188Email hidden; Javascript is required.23Payment Sent10/08/202407/31/2024Replacement or New ApplianceNo1New InstallationCook Top/Range ($50.00)GEJGS760SPSS317B9044P00410/08/2024DEBBIE-HARDY-REBATE.pdf$50.00DEBBIE HARDY(252) 813-6260Email hidden; Javascript is required.9605 Walking Horse Ln.
Castalia, North Carolina 27816
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9605 Walking Horse Ln.
Castalia, North Carolina 27816
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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)
DEBBIE-HARDY-REBATE1.pdf
2024-59220487Navya Sree PakalaEmail hidden; Javascript is required.135 Saucer Street
Garner, North Carolina 27529
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135 Saucer Street
Garner, North Carolina 27529
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L.G. Jordan Oil Co., Inc.(919) 362-8388Email hidden; Javascript is required.2Payment Sent10/29/202410/11/2024New ConstructionNo1Cook Top/Range ($50.00)WhirlpoolWEG745H0225RD131772210/11/2024new-construction16.pdf$50.00Navya Sree Pakala(516) 567-5313Email hidden; Javascript is required.135 Saucer Street
Garner, North Carolina 27529
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135 Saucer Street
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)
New Home Inc
2024-11282415ROY BENDEREmail hidden; Javascript is required.2104 BRANDON STATION COURT
PLEASANT GARDEN, North Carolina 27313
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2104 BRANDON STATION COURT
PLEASANT GARDEN, North Carolina 27313
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.8Payment Sent10/23/202409/25/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RINNAIRX160EPSF.BA-09385110/23/2024Bender-Rinnai-Invoice.pdf$300.00ROY BENDER(757) 309-7011Email hidden; Javascript is required.2104 BRANDON STATION COURT
PLEASANT GARDEN, North Carolina 27313
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2104 BRANDON STATION COURT
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)
Bender-Rinnai-Invoice1.pdf
2024-15710503Brent WestEmail hidden; Javascript is required.805 Desert Harbor Pl
Cary, North Carolina 27519
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805 Desert Harbor Pl
Cary, North Carolina 27519
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Blue Ridge Energy, LLC(828) 758-4401Email hidden; Javascript is required.16Payment Sent10/15/202410/09/2024New ConstructionNo1Tankless Water Heater ($300.00)RinnaiRE160iSA.UA-00513410/15/2024Cargas-Scan10.pdf$300.00Brent West(919) 349-2827Email hidden; Javascript is required.805 Desert Harbor Pl
Cary, North Carolina 27519
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645 Grindstone Lane
Millers Creek, North Carolina 28651
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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)
BJ West
2024-18866661DON PRICE1107 CASTLEWOOD DR
ROCKINGHAM, North Carolina 28379
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1107 CASTLEWOOD DR
ROCKINGHAM, North Carolina 28379
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Big K LP GAS Inc(910) 895-0832Email hidden; Javascript is required.1Payment Sent10/30/202410/21/2024Replacement or New ApplianceNo1New InstallationDual Fuel Heat Pump ($400.00)AMERICAN STANDARD4YCC4048E1090AA24196800FA10/21/2024DON-PRICE10302024.pdf$400.00DON PRICE(910) 997-63061107 CASTLEWOOD DR
ROCKINGHAM, North Carolina 28379
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1107 CASTLEWOOD DR
ROCKINGHAM, North Carolina 28379
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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)
2024-19832710KATHY PROUTEmail hidden; Javascript is required.1105 TURNER MEADOW DR.
RALEIGH, North Carolina 27526
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1105 TURNER MEADOW DR.
RALEIGH, North Carolina 27526
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K.B. Johnson Oil & Gas Co.(919) 552-8474Email hidden; Javascript is required.1Payment Sent10/30/202410/23/2024Replacement or New ApplianceNo1New InstallationCook Top/Range ($50.00)GEPGP983OSR1SSSZ018124C10/30/2024Upload Receipt$50.00KATHY PROUT(919) 280-8550Email hidden; Javascript is required.1105 TURNER MEADOW DR.
RALEIGH, North Carolina 27526
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1105 TURNER MEADOW DR.
RALEIGH, 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:
2024-21095715SHERRY GASKINS215 POWERS DR
ELIZABETH CITY, North Carolina 27909
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215 POWERS DR
ELIZABETH CITY, North Carolina 27909
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CROSSROADS FUEL SERVICE INC(252) 426-5216Email hidden; Javascript is required.6Payment Sent10/26/202410/26/2024Replacement or New ApplianceNo1New InstallationFurnace ($400.00)DAIKINDC80SN0804BX230813635810/26/2024img20241031_09070241.pdf$400.00SHERRY GASKINS(252) 333-5698215 POWERS DR
ELIZABETH CITY, North Carolina 27909
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1811 EDGEWOOD DR
ELIZABETH CITY, North Carolina 27909
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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)
img20241031_090702411.pdf
2024-11432571NICOLE SHUMATEEmail hidden; Javascript is required.30 SNOWY COVE RD
BLACK MTN, North Carolina 28711
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30 SNOWY COVE RD
BLACK MTN, North Carolina 28711
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.1Payment Sent10/31/202410/31/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RINNAIRE160IPSE.UA-07998110/31/2024Invoice-30E8612B-562A-4804-94E1-8EBFB989C00CSHUMATE.pdf$300.00NICOLE SHUMATE(515) 822-5285Email hidden; Javascript is required.30 SNOWY COVE RD
BLACK MTN, North Carolina 28711
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30 SNOWY COVE RD
BLACK MTN, North Carolina 28711
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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-30E8612B-562A-4804-94E1-8EBFB989C00CSHUMATE1.pdf
2024-10003960RANDY STEPHENSEmail hidden; Javascript is required.33 MANEY VIEW LANE
BLACK MTN, North Carolina 28711
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33 MANEY VIEW LANE
BLACK MTN, North Carolina 28711
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.1Payment Sent10/31/202410/31/2024Replacement or New ApplianceYesBuncombe1New InstallationTankless Water Heater ($600.00)RINNAIRE180IPSF.UA-08564810/31/2024Invoice-2D3B7442-83E4-411F-BCAD-77012F3C5870-2STEPHENS.pdf$600.00RANDY STEPHENS(678) 520-5561Email hidden; Javascript is required.33 MANEY VIEW LANE
BLACK MTN, North Carolina 28711
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33 MANEY VIEW LANE
BLACK MTN, North Carolina 28711
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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-2D3B7442-83E4-411F-BCAD-77012F3C5870-2STEPHENS1.pdf
2024-97284111DENNIS RILEYEmail hidden; Javascript is required.39 HAWKES POINT LANE
WEAVERVILLE, North Carolina 28787
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39 HAWKES POINT LANE
WEAVERVILLE, North Carolina 28787
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Blossman Gas(828) 667-0437Email hidden; Javascript is required.1Payment Sent10/31/202410/31/2024Replacement or New ApplianceYesBuncombe1New InstallationTankless Water Heater ($600.00)RINNAIRE160IPSE.UA-07598510/31/2024Invoice-6635A8EC-EAC1-42BD-BC77-1521777B3E43RILEY.pdf$600.00DENNIS RILEY(724) 331-3333Email hidden; Javascript is required.39 HAWKES POINT LANE
WEAVERVILLE, North Carolina 28787
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39 HAWKES POINT LANE
WEAVERVILLE, North Carolina 28787
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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-6635A8EC-EAC1-42BD-BC77-1521777B3E43RILEY1.pdf
2024-38317697ERIN GRANTEmail hidden; Javascript is required.285 ECHO TRAIL
THOMASVILLE, North Carolina 27360
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285 ECHO TRAIL
THOMASVILLE, North Carolina 27360
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Euliss Propane(336) 622-3055Email hidden; Javascript is required.7Payment Sent10/25/202410/25/2024New ConstructionNo2Tankless Water Heater ($300.00)RINNAIRX199ISF.BA-06566710/25/2024Cook Top/Range ($50.00)CAFECG5750P2M551MZ371433P10/25/2024$350.00ERIN GRANT(336) 406-4250Email hidden; Javascript is required.285 ECHO TRAIL
THOMASVILLE, North Carolina 27360
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285 ECHO TRAIL
THOMASVILLE, North Carolina 27360
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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)
Emerge Builders
2024-13919086RANDY KEARNEY8487 NC 39 HWY SOUTH
HENDERSON, North Carolina 27536
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8487 NC 39 HWY SOUTH
HENDERSON, North Carolina 27536
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L H Dickens & Son Inc(919) 853-2117Email hidden; Javascript is required.17Payment Sent10/15/202410/15/2024Replacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($300.00)RINNAIRE199IPSA.UA.01187610/15/2024KEARAN-WATER-HEATER-REBATE.pdf$300.00RANDY KEARNEY(252) 438-73688487 NC 39 HWY SOUTH
HENDERSON, North Carolina 27536
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8487 NC 39 HWY SOUTH
HENDERSON, North Carolina 27536
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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)
KEARAN-WATER-HEATER-REBATE1.pdf
2024-15896215Morning Star Baptist ChurchEmail hidden; Javascript is required.P O Box 564
Battleboro, North Carolina 27809
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P O Box 564
Battleboro, North Carolina 27809
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Joyner's Heating and Air Conditioning Inc(252) 442-9211Email hidden; Javascript is required.15Incomplete12/14/202410/17/202409/19/2024Replacement or New ApplianceNo1New InstallationFurnace ($400.00)Trane4ycc4060e1115a24343329fa10/15/2024Morning-Star-invoice.pdf$400.00Morning Star Baptist Church(252) 314-1984Email hidden; Javascript is required.P O Box 564
Battleboro, North Carolina 27809
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2280 Morning Star Church Rd
Battleboro, North Carolina 27809
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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)
Morning-Star-invoice1.pdf
2024-19480463WARREN PERRYEmail hidden; Javascript is required.581 TIMBERLAKE DRIVE
CLINTON, North Carolina 28328
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581 TIMBERLAKE DRIVE
CLINTON, North Carolina 28328
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Parker Gas company(910) 323-8283Email hidden; Javascript is required.3Payment Sent10/29/202410/29/2024Replacement or New ApplianceNo1New InstallationTankless Water Heater ($300.00)RINNAIRE199ESG.UA-09478710/29/202411202.pdf$300.00WARREN PERRY(910) 590-2031Email hidden; Javascript is required.581 TIMBERLAKE DRIVE
CLINTON, North Carolina 28328
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581 TIMBERLAKE DRIVE
CLINTON, North Carolina 28328
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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)
112021.pdf
2024-13240026KIM HARRISEmail hidden; Javascript is required.PO BOX 936
SPRUCE PINE, North Carolina 28777
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PO BOX 936
SPRUCE PINE, North Carolina 28777
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BLOSSMAN GAS AND PROPANE(828) 682-2118Email hidden; Javascript is required.3Payment Sent10/29/202410/26/2024Replacement or New ApplianceYesYancey Counties1New InstallationTankless Water Heater ($600.00)RINNAIRXP160INRM.BA-13963310/26/2024KIM-HARRIS.pdf$600.00KIM HARRIS(828) 467-6707Email hidden; Javascript is required.PO BOX 936
SPRUCE PINE, North Carolina 28777
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332 WALTER THOMAS RD
SPRUCE PINE, North Carolina 28777
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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)
KIM-HARRIS1.pdf
2024-91338050PHILLIP SIMMONS158 LITTLE BROOK TRAIL
PILOT MOUNTAIN, North Carolina 27041
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158 LITTLE BROOK TRAIL
PILOT MOUNTAIN, North Carolina 27041
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G&B Energy(336) 368-3678Email hidden; Javascript is required.2Payment Sent10/31/202410/31/2024Replacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($300.00)RINNAIRE160PH.UA-07163210/31/2024PHILLIP-SIMMONS.pdf$300.00PHILLIP SIMMONS(336) 971-7953158 LITTLE BROOK TRAIL
PILOT MOUNTAIN, North Carolina 27041
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158 LITTLE BROOK TRAIL
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)
PHILLIP-SIMMONS1.pdf
2024-20588409CONRAD MILLSAPSEmail hidden; Javascript is required.469 MILLSAPS FARM LN
HIDDENITE, North Carolina 28636
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469 MILLSAPS FARM LN
HIDDENITE, North Carolina 28636
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G&B ENERGY(704) 873-4747Email hidden; Javascript is required.10Payment Sent10/23/202410/23/2024Replacement or New ApplianceNo1Replacement InstallationTankless Water Heater ($300.00)RINNAIREU-VC2528FFUD-US (A) -PPF. CA-09864610/23/2024CONRAD_MILLSAPS_WHREBATE.pdf$300.00CONRAD MILLSAPS(828) 632-5479Email hidden; Javascript is required.469 MILLSAPS FARM LN
HIDDENITE, North Carolina 28636
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469 MILLSAPS FARM LN
HIDDENITE, North Carolina 28636
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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)
CONRAD_MILLSAPS_WHREBATE1.pdf
2024-79625123Shawn MooreEmail hidden; Javascript is required.Shawn Moore
509B Tucker Street
Four Oaks, North Carolina 27524
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Shawn Moore
509B Tucker Street
Four Oaks, North Carolina 27524
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Parker Gas Co., Inc.(910) 592-3942Email hidden; Javascript is required.4Payment Sent10/29/202410/29/2024Replacement or New ApplianceNo1Replacement InstallationFurnace ($400.00)RuudRGEAZR036AJT101NAAJAF38240051310/29/2024Invoice_7155_from_Central_Air_Inc.pdf$400.00Shawn Moore(919) 820-2691Email hidden; Javascript is required.Shawn Moore
509B Tucker Street
Four Oaks, North Carolina 27524
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Shawn Moore
680A Adams Rd
Benson, North Carolina 27504
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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_7155_from_Central_Air_Inc1.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