Rotating website ad slot: Item-level delivery evidence request
Working record — review before sharing.

Purchase scope
Retain the exact current source and distinguish unknown, proposed and agreed conditions.
Publisher and named contact: [not recorded]
Buyer brand and market: [not recorded]
Quoted purchase total, currency and tax basis: [not recorded]
Agreed destination URL: [not recorded]
Agreed page or page list: [not recorded]
Position and format: [not recorded]
Agreed device coverage: [not recorded]
Buying period and timezone: [not recorded]
Quoted rotation or share conditions: [not recorded]

Source and status
Identify the version and whether it is proposed, agreed or still awaiting a decision.
Current original and exact version: [not recorded]

Evidence request
Review the draft before contacting the publisher through your usual process.
Exact version, item and condition: [not recorded]
Specific authorized material requested: [not recorded]
Report definitions and observation window: [not recorded]

Follow-up
Keep the evidence request separate from acceptance.
Owner and requested follow-up: [not recorded]

Review status
Unrecorded fields: Publisher and named contact; Buyer brand and market; Quoted purchase total, currency and tax basis; Agreed destination URL; Agreed page or page list; Position and format; Agreed device coverage; Buying period and timezone; Quoted rotation or share conditions; Current original and exact version; Exact version, item and condition; Specific authorized material requested; Report definitions and observation window; Owner and requested follow-up. Leave unknown facts unknown and resolve the questions needed for your decision.
This draft does not establish authority, approval, publisher agreement, buyer acceptance, payment or delivery.