| Invoice # | Today's Date | Total | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Installation Address | Customer / Recipient Address | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | How many rebates would you like to claim? | Installation Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-88122846 | 03/10/2026 | $150.00 | Jacob Dellinger | (336) 353-8161 | 213 Kapps Mill Rd Elkin, North Carolina 28621 Map It | 213 Kapps Mill Rd Elkin, North Carolina 28621 Map It | G & B Energy | Gray Burchette | (336) 835-3607 | Email hidden; Javascript is required. | Submitted | 03/05/2026 | 12/09/2025 | Gray Burchette | Replacement or New Appliance | 1 | New Installation | Room Heater ($150.00) | Kozy Heat | Bayport 41L | 25-039126-46 | 12/09/2025 | BRNB42200A94A58_005283.pdf | BRNB42200A94A58_0052831.pdf | ||||||||||||||||||||||||||||||||
| 2025-16387744 | 03/10/2026 | $150.00 | Ronnie Vestal | (336) 466-1382 | 1929 Sugartown rd Yadkinville, North Carolina 27055 Map It | 1929 Sugartown rd Yadkinville, North Carolina 27055 Map It | G & B Energy | Gray Burchette | (336) 835-3607 | Email hidden; Javascript is required. | Submitted | 03/04/2026 | 03/04/2026 | Gray Burchette | Replacement or New Appliance | 1 | New Installation | Room Heater ($150.00) | Kozy Heat | CSK34L | 25-738538-08 | 03/04/2026 | BRNB42200A94A58_005288.pdf | BRNB42200A94A58_0052881.pdf | ||||||||||||||||||||||||||||||||
| 2025-14895003 | 03/10/2026 | $250.00 | Carl Ryfa | (919) 663-4538 | Email hidden; Javascript is required. | 364 Rebecca Ln Siler City, North Carolina 27344 Map It | 364 Rebecca Ln Siler City, North Carolina 27344 Map It | L & M Nicholson Heating and Air, Inc. | Lonnie Nicholson | (336) 376-9998 | Email hidden; Javascript is required. | Submitted | 03/09/2026 | 03/09/2026 | Lonnie Nicholson | Replacement or New Appliance | 1 | Replacement Installation | Furnace ($250.00) | Trane | S9X1B080U4PSBB | 26084P5AKG | 03/09/2026 | Carl-Ryfa-Invoice-54520846.pdf | Carl-Ryfa-Invoice-545208461.pdf | |||||||||||||||||||||||||||||||
| Invoice # | Today's Date | Total | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Installation Address | Customer / Recipient Address | Company Name | Company Contact | Company Phone | Company Email | Rebate Status | Safety Inspection Date | Purchase/Invoice Date | Safety Inspector’s Full Name | Type of Installation | How many rebates would you like to claim? | Installation Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
