Advertising Media Billing Reconciliation Form
Please complete all sections diligently to ensure accurate reconciliation of billed advertising media with actual expenditures. Provide detailed information for each part to streamline a thorough review and approval process.
Date: [Month Day, Year]
General Information
Name: | [Client’s Name] |
Campaign Name: | [Campaign Name] |
Campaign Period: | [Month Day, Year] - [Month Day, Year] |
Account Manager: | [Account Manager’s Name] |
Billed Advertising Media
Media Type | Placement | Billed Amount | Billing Date |
Television | TV Network | $15,000 | March 15, 2050 |
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Actual Media Spend
Media Type | Placement | Amount Spent | Payment Date |
Television | TV Network | $14,500 | March 30, 2050 |
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Reconciliation Summary
Total Billed Amount: | $32,000 |
Actual Amount Spent: | |
Difference: | |
Approval

[Approver's Name]
[Approver's Job Title]
Date: [Month Day, Year]
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