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    FASTag - Statement1032014763720200501124625793 - OW PDF

    Uploaded by

    Narasimha Sandaka
    This document is an e-statement for a FASTag account belonging to TELU PEDDI RAJU. It provides details of the customer's wallet balances, vehicles linked to the account with their license plate numbers, and individual toll transactions against the account from April 1-May 1, 2020. There are multiple toll transactions listed for two vehicles with plate numbers AP10Z4022 and AP05Z5037 at various toll plazas, with amounts debited ranging from Rs. 75 to Rs. 350 for each trip. The statement also shows the customer's current wallet balances.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FASTag - Statement1032014763720200501124625793 - OW PDF

    Uploaded by

    Narasimha Sandaka
    356 views4 pages
    This document is an e-statement for a FASTag account belonging to TELU PEDDI RAJU. It provides details of the customer's wallet balances, vehicles linked to the account with their license plate numbers, and individual toll transactions against the account from April 1-May 1, 2020. There are multiple toll transactions listed for two vehicles with plate numbers AP10Z4022 and AP05Z5037 at various toll plazas, with amounts debited ranging from Rs. 75 to Rs. 350 for each trip. The statement also shows the customer's current wallet balances.

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    FASTag - Statement1032014763720200501124625793_OW.pdf

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    © © All Rights Reserved

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    This document is an e-statement for a FASTag account belonging to TELU PEDDI RAJU. It provides details of the customer's wallet balances, vehicles linked to the account with their license plate numbers, and individual toll transactions against the account from April 1-May 1, 2020. There are multiple toll transactions listed for two vehicles with plate numbers AP10Z4022 and AP05Z5037 at various toll plazas, with amounts debited ranging from Rs. 75 to Rs. 350 for each trip. The statement also shows the customer's current wallet balances.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    356 views4 pages

    FASTag - Statement1032014763720200501124625793 - OW PDF

    Uploaded by

    Narasimha Sandaka
    This document is an e-statement for a FASTag account belonging to TELU PEDDI RAJU. It provides details of the customer's wallet balances, vehicles linked to the account with their license plate numbers, and individual toll transactions against the account from April 1-May 1, 2020. There are multiple toll transactions listed for two vehicles with plate numbers AP10Z4022 and AP05Z5037 at various toll plazas, with amounts debited ranging from Rs. 75 to Rs. 350 for each trip. The statement also shows the customer's current wallet balances.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    FASTag E-Statement

    Bank Details Customer Details


    Statement Reference Customer ID: 10320147 Address:
    010520/124626/36
    Number TELU PEDDI RAJU
    Corporate APSRTC RAJAHMUNDRY DEPOT APSRTC BUS STATION
    Name of ICICI Bank
    Name: COMPLEX,
    Branch making the ICICI Bank Limited BKC
    supply: Statement 01-04-2020 to 01-05-2020 RAJAHMUNDRY,
    Period: EAST GODAVARI - 533101,
    Bill From Address of ICICI Bank Towers, Andhra Pradesh,
    ICICI: Bandra Kurla Complex, Statement Date: 01-05-2020 INDIA.
    Mumbai 400071
    Type of address: Permanent
    GSTIN of ICICI: 27AAACI1195H3ZK
    GSTIN Number: N/A
    Place of Supply: Andhra Pradesh
    State Code: 37

    Convert your Big shopping bills into small, manageable EMI's! If any of the below transaction is highlighted,you may login to ICICI Bank Internet Banking
    and convert into EMI now ! TnC apply, visit www.icicibank.com/emioncall for details.

    Wallet Summary
    Balance Type Opening Balance (Rs.) Credit (Rs.) Debit (Rs.) Closing Balance (Rs.)
    Miscellaneous Wallet 273193.86 0.00 0.00 273193.86
    Chargeback Wallet 0.00 0.00 0.00 0.00
    Cashback Wallet 76092.19 86227.25 0.00 162319.44
    Security Tag Deposit 53600.00 0.00 0.00 53600.00
    Wallet
    One Wallet 55845.00 0.00 - 5765.00 50080.00

    Vehicle Summary
    Tag Account No. Licence Plate No. Vehicle Type Status BlackListed TripCount
    20596493 AP10Z4022 Bus 2 axle Active False 8
    20596496 AP05Z5037 Bus 2 axle Active False 7
    20596504 AP05Z5116 Bus 2 axle Active False 4
    20596506 AP05Z5190 Bus 2 axle Active False 7
    21763932 AP05Z5243 Bus 2 axle Active False 2
    22513281 AP11Z6845 Car/Jeep/Van Active False 1
    22513282 AP11Z6852 Car/Jeep/Van Active False 4

    One
    One Wallet
    Wallet Transaction
    Transaction Details
    Details
    Date & Tag Account Licence Plate Activity No Unique
    transactionTrip
    details
    / Adj / to display
    Transaction Description Amount Amount
    Time No. No. Transaction Txn Date (Rs.)(CR) (Rs.)(DR)
    ID &Time
    30-04-2020 20596493 AP10Z4022 TOLL 00100120043 30-04-2020 Trip is posted to the Tag Account No. 0.00 115.00
    01:15:04 00115023071 01:04:36 20596493 with Licence Plate No.
    / 512221678 AP10Z4022 at Plaza Kalaparru.
    30-04-2020 20596493 AP10Z4022 TOLL 0022282863 / 30-04-2020 Trip is posted to the Tag Account No. 0.00 140.00
    01:46:05 512226501 01:38:39 20596493 with Licence Plate No.
    AP10Z4022 at Plaza Pottipadu.
    30-04-2020 20596493 AP10Z4022 TOLL 00100020043 30-04-2020 Trip is posted to the Tag Account No. 0.00 190.00
    03:46:04 00346040528 03:35:25 20596493 with Licence Plate No.
    / 512241868 AP10Z4022 at Plaza Keesara Plaza
    (NH-65),(old.
    30-04-2020 20596493 AP10Z4022 TOLL 00553356831 30-04-2020 Trip is posted to the Tag Account No. 0.00 290.00
    04:12:44 / 512245113 04:08:30 20596493 with Licence Plate No.
    AP10Z4022 at Plaza Chillakallu.
    30-04-2020 20596493 AP10Z4022 TOLL 00553375586 30-04-2020 Trip is posted to the Tag Account No. 0.00 350.00
    05:48:37 / 512258976 05:46:21 20596493 with Licence Plate No.
    AP10Z4022 at Plaza Koralaphad.
    30-04-2020 20596493 AP10Z4022 TOLL 00553394644 30-04-2020 Trip is posted to the Tag Account No. 0.00 255.00
    06:54:35 / 512273820 06:47:51 20596493 with Licence Plate No.
    AP10Z4022 at Plaza Pantangi.
    30-04-2020 20596493 AP10Z4022 TOLL 00553650408 30-04-2020 Trip is posted to the Tag Account No. 0.00 130.00
    20:54:37 / 512484891 20:50:28 20596493 with Licence Plate No.
    AP10Z4022 at Plaza Pantangi.
    30-04-2020 20596493 AP10Z4022 TOLL 00553681936 30-04-2020 Trip is posted to the Tag Account No. 0.00 175.00
    22:42:36 / 512509864 22:39:28 20596493 with Licence Plate No.
    AP10Z4022 at Plaza Koralaphad.

    1 of 4
    FASTag E-Statement
    One Wallet Transaction Details
    Date & Tag Licence Plate Activity Unique Trip / Adj / Transaction Description Amount Amount
    Time Account No. No. Transaction Txn Date (Rs.)(CR) (Rs.)(DR)
    ID &Time
    30-04-2020 20596496 AP05Z5037 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 165.00
    04:49:58 30010700126 04:37:36 20596496 with Licence Plate No.
    / 512249790 AP05Z5037 at Plaza Nathavalasa.
    30-04-2020 20596496 AP05Z5037 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 150.00
    06:03:14 30010400290 05:55:49 20596496 with Licence Plate No.
    / 512261869 AP05Z5037 at Plaza Chilakpelam.
    30-04-2020 20596496 AP05Z5037 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 75.00
    10:02:28 30020100188 09:55:09 20596496 with Licence Plate No.
    / 512324608 AP05Z5037 at Plaza Chilakpelam.
    30-04-2020 20596496 AP05Z5037 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 80.00
    10:51:58 30020100100 10:33:12 20596496 with Licence Plate No.
    / 512336350 AP05Z5037 at Plaza Nathavalasa.
    30-04-2020 20596496 AP05Z5037 TOLL 00553495838 30-04-2020 Trip is posted to the Tag Account No. 0.00 180.00
    12:28:20 / 512357769 12:22:02 20596496 with Licence Plate No.
    AP05Z5037 at Plaza Agnampadi.
    30-04-2020 20596496 AP05Z5037 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 380.00
    14:06:12 30021000441 13:55:10 20596496 with Licence Plate No.
    / 512378946 AP05Z5037 at Plaza Vempadu.
    30-04-2020 20596496 AP05Z5037 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 145.00
    15:33:27 30020100315 15:23:17 20596496 with Licence Plate No.
    / 512399094 AP05Z5037 at Plaza Krishnavaram.
    30-04-2020 20596504 AP05Z5116 TOLL 00553343574 30-04-2020 Trip is posted to the Tag Account No. 0.00 180.00
    03:02:47 / 512236506 02:55:24 20596504 with Licence Plate No.
    AP05Z5116 at Plaza Agnampadi.
    30-04-2020 20596504 AP05Z5116 TOLL 00553467383 30-04-2020 Trip is posted to the Tag Account No. 0.00 90.00
    10:44:04 / 512334422 10:36:06 20596504 with Licence Plate No.
    AP05Z5116 at Plaza Agnampadi.
    30-04-2020 20596504 AP05Z5116 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 380.00
    12:04:38 30021000326 11:56:10 20596504 with Licence Plate No.
    / 512352699 AP05Z5116 at Plaza Vempadu.
    30-04-2020 20596504 AP05Z5116 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 145.00
    15:00:36 30020200121 14:54:47 20596504 with Licence Plate No.
    / 512391086 AP05Z5116 at Plaza Krishnavaram.
    30-04-2020 20596506 AP05Z5190 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 165.00
    04:58:26 30010800241 04:52:06 20596506 with Licence Plate No.
    / 512250982 AP05Z5190 at Plaza Nathavalasa.
    30-04-2020 20596506 AP05Z5190 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 150.00
    06:03:14 30010400291 05:55:58 20596506 with Licence Plate No.
    / 512261872 AP05Z5190 at Plaza Chilakpelam.
    30-04-2020 20596506 AP05Z5190 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 75.00
    10:02:30 30020100187 09:54:41 20596506 with Licence Plate No.
    / 512324624 AP05Z5190 at Plaza Chilakpelam.
    30-04-2020 20596506 AP05Z5190 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 80.00
    10:51:58 30020100099 10:33:05 20596506 with Licence Plate No.
    / 512336351 AP05Z5190 at Plaza Nathavalasa.
    30-04-2020 20596506 AP05Z5190 TOLL 00553495832 30-04-2020 Trip is posted to the Tag Account No. 0.00 180.00
    12:28:19 / 512357763 12:23:09 20596506 with Licence Plate No.
    AP05Z5190 at Plaza Agnampadi.
    30-04-2020 20596506 AP05Z5190 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 380.00
    14:02:12 30021000440 13:54:46 20596506 with Licence Plate No.
    / 512377959 AP05Z5190 at Plaza Vempadu.
    30-04-2020 20596506 AP05Z5190 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 295.00
    15:33:26 30020100314 15:23:03 20596506 with Licence Plate No.
    / 512399090 AP05Z5190 at Plaza Krishnavaram.
    30-04-2020 21763932 AP05Z5243 TOLL 00553452024 30-04-2020 Trip is posted to the Tag Account No. 0.00 180.00
    09:52:26 / 512322002 09:42:59 21763932 with Licence Plate No.
    AP05Z5243 at Plaza Agnampadi.
    30-04-2020 21763932 AP05Z5243 TOLL 00000002004 30-04-2020 Trip is posted to the Tag Account No. 0.00 295.00
    12:16:22 30020400123 12:06:04 21763932 with Licence Plate No.
    / 512355270 AP05Z5243 at Plaza Krishnavaram.
    23-04-2020 22513281 AP11Z6845 TOLL 00012020042 23-04-2020 Trip is posted to the Tag Account No. 0.00 90.00
    18:10:21 31704506455 17:46:50 22513281 with Licence Plate No.
    / 510430313 AP11Z6845 at Plaza Unguturu Toll
    Plaza.
    23-04-2020 22513282 AP11Z6852 TOLL 00062020042 23-04-2020 Trip is posted to the Tag Account No. 0.00 90.00
    16:30:03 31604574348 16:09:57 22513282 with Licence Plate No.
    / 510405898 AP11Z6852 at Plaza Unguturu Toll
    Plaza.

    2 of 4
    FASTag E-Statement
    One Wallet Transaction Details
    Date & Tag Licence Plate Activity Unique Trip / Adj / Transaction Description Amount Amount
    Time Account No. No. Transaction Txn Date (Rs.)(CR) (Rs.)(DR)
    ID &Time
    23-04-2020 22513282 AP11Z6852 TOLL 00012020042 23-04-2020 Trip is posted to the Tag Account No. 0.00 45.00
    18:10:21 31704076454 17:46:07 22513282 with Licence Plate No.
    / 510430312 AP11Z6852 at Plaza Unguturu Toll
    Plaza.
    29-04-2020 22513282 AP11Z6852 TOLL 00000002004 29-04-2020 Trip is posted to the Tag Account No. 0.00 85.00
    09:33:09 29020500060 09:23:39 22513282 with Licence Plate No.
    / 512003427 AP11Z6852 at Plaza Krishnavaram.
    29-04-2020 22513282 AP11Z6852 TOLL 0022249005 / 29-04-2020 Trip is posted to the Tag Account No. 0.00 40.00
    13:32:45 512058199 13:21:54 22513282 with Licence Plate No.
    AP11Z6852 at Plaza Gollaprolu.

    Cashback wallet Transaction Details


    Date & Time Activity Transaction Description Amount (Rs.)(CR) Amount (Rs.)(DR)
    07-04-2020 20:33:46 ADJUSTMENT Cashback credited for the 39269.40 0.00
    Trips processed between
    01st - 31st December, 2019
    08-04-2020 18:54:46 ADJUSTMENT Cashback credited for the 46957.85 0.00
    Trips processed between
    01st - 31st January, 2020

    Miscellaneous wallet Transaction Details


    No transaction details to display
    Security Deposit wallet Transaction Details
    No transaction details to display
    Chargeback wallet Transaction Details
    No transaction details to display

    3 of 4
    FASTag E-Statement
    Important Messages

    The Agency does not guarantee the accuracy of this information. For up-to-date account information, please contact our Customer Care at 18602670104.

    * Date and Time for Activity type- Trip is the Trip Date & Time, not the Transaction Posting Date & Time

    ‡ ICICI Bank's Service Tax Registration number is Mum/Div - III/ST/CDR/23.


    ‡ With effect from 01/06/2016, the service tax rate has been increased from 14.50% to 15.00% which includes ³Swachh Bharat Cess´at the rate of
    0.50% and ³Krishi Kalyan Cess´at the rate of 0.50%.
    ‡ With effect from 01/07/2017,Goods and Services Tax will be applicable on the services which include IGST @ 18%, CGST @ 9% and SGST @ 9%.
    ‡ The category of service:Tag,Charge Tag or Other payment Tag service. PAN based STC No:AAACI1195HST001.
    ‡ All the customers are advised to update new address with the Bank within 2 weeks of change in address.
    ‡ Our registered office address : ICICI Bank Limited, "Landmark", Race Course Circle, Vadodara - 390 007, Gujarat, India.

    Declaration For ICICI Bank


    Limited

    Authorized Signatory

    4 of 4

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