WEBSITE AD PLACEMENT DISCREPANCY RECORD
Purchase / publisher / buyer: [references]
Agreed offer and source: [version / original reference]
Delivery item: [page / position / format / devices / period]
Exact condition being reviewed: [agreed wording]

Observation date / time / timezone: [details]
Page URL and device / viewport: [details]
Observed result: [matches / differs / inaccessible / unclear]
Screenshot or authorized evidence: [reference]
Access limits or uncertainty: [details]
Scope of this observation: [what it does and does not establish]

Question to publisher: [specific difference or missing fact]
Publisher response and source: [reference / unanswered]
Proposed correction or makegood: [scope / dates / not agreed]
Responsible person and follow-up date: [details]
New observation after correction: [reference / pending]
Reviewer decision and reason: [corrected / accept exception / unresolved]
Delivery acceptance: [separate explicit decision / pending]

This record supports review. A screenshot is a point-in-time
observation. A requested remedy is not an agreed entitlement.