FASTag E-Statement
Bank Details Customer Details
Statement Reference Customer ID: 12074439 Address:
070923/100507/16
Number NIVEDITA NAYAK
Name of ICICI Bank Name: NIVEDITA NAYAK 3/1 (Old) NO1 NATIONAL
Branch making the ICICI Bank Limited BKC LIBRARY AVENUE,,
Statement Period: 17-08-2023 to 27-08-2023 ,C W E COMPLEX
supply:
ALIPORE,
Bill From Address of ICICI Bank Towers, Statement Date: 07-09-2023 CALCUTTA - 700027,
ICICI: Bandra Kurla Complex, West Bengal,
Mumbai 400071 Type of address: Permanent
INDIA.
GSTIN of ICICI: 27AAACI1195H3ZK GSTIN Number: N/A
Place of Supply: West Bengal State Code: 19
Vehicle Summary
Tag Account No. Licence Plate No. Group Trip Count Opening Balance (Rs.) Credit (Rs.) Debit (Rs.) Closing Balance
(Rs.)
22554090 WB20AG9119 Default 17 875.88 1500.00 - 1760.00 615.88
Total 17 875.88 1500.00 - 1760.00 615.88
Transaction Details
Date & Time Activity Unique Transaction ID Transaction Description Amount Amount
(Rs.)(CR) (Rs.)(DR)
WB20AG9119 - 22554090
26-08-2023 15:56:58 Trip (RRN No / Trip No) 003073642227 / Plaza Name:Jaladhulagoritollplaza- Lane ID:12 0.00 130.00
2734330145
26-08-2023 14:49:30 Trip (RRN No / Trip No) 003073480315 / Plaza Name:Debratollplaza- Lane ID:6 0.00 75.00
2734187329
26-08-2023 14:19:10 Trip (RRN No / Trip No) 003073413033 / Plaza Name:RampuraPlaza- Lane ID:6 0.00 95.00
2734126143
26-08-2023 13:31:48 Trip (RRN No / Trip No) 003073310706 / Plaza Name:LaxamannathPlaza- Lane ID:2 0.00 75.00
2734033993
26-08-2023 11:53:28 Payment RIB000000006014493 Received Payment by Retail Internet Banking 500.00 0.00
26-08-2023 11:47:59 Trip (RRN No / Trip No) 0010012308261151044426 Plaza Name:SERGARHTOLLplaza- Lane ID:03 0.00 60.00
/ 2733810048
26-08-2023 10:21:31 Trip (RRN No / Trip No) 0010032308261022460778 Plaza Name:BhagadaNarayanpurTollPlaza- Lane 0.00 145.00
/ 2733621383 ID:B1
26-08-2023 09:34:20 Trip (RRN No / Trip No) 003072734080 / Plaza Name:ManguliTollPlaza- Lane ID:7 0.00 145.00
2733522865
26-08-2023 08:14:16 Trip (RRN No / Trip No) 0010022308260814281375 Plaza Name:GudipadaorGangapadaTollplaza- 0.00 110.00
/ 2733363500 Lane ID:Lane5
26-08-2023 07:14:13 Payment RIB000000006011443 Received Payment by Retail Internet Banking 500.00 0.00
26-08-2023 07:10:24 Trip (RRN No / Trip No) 0010022308260710407881 Plaza Name:Gurapali- Lane ID:01 0.00 100.00
/ 2733246641
22-08-2023 10:10:29 Trip (RRN No / Trip No) 0010022308221010490135 Plaza Name:Gurapali- Lane ID:08 0.00 100.00
/ 2724091926
18-08-2023 16:13:39 Trip (RRN No / Trip No) 003052400970 / Plaza Name:ManguliTollPlaza- Lane ID:15 0.00 145.00
2715221780
18-08-2023 14:09:33 Trip (RRN No / Trip No) 0010012308181410366349 Plaza Name:BhagadaNarayanpurTollPlaza- Lane 0.00 145.00
/ 2714939314 ID:C3
18-08-2023 12:44:45 Payment RIB000000005919639 Received Payment by Retail Internet Banking 500.00 0.00
18-08-2023 12:31:19 Trip (RRN No / Trip No) 0010032308181232478935 Plaza Name:SERGARHTOLLplaza- Lane ID:07 0.00 60.00
/ 2714756929
18-08-2023 10:34:03 Trip (RRN No / Trip No) 003051679688 / Plaza Name:LaxamannathPlaza- Lane ID:8 0.00 75.00
2714524250
18-08-2023 09:50:27 Trip (RRN No / Trip No) 003051597046 / Plaza Name:RampuraPlaza- Lane ID:2 0.00 95.00
2714440369
18-08-2023 09:22:08 Trip (RRN No / Trip No) 013051493716 / Plaza Name:Debratollplaza- Lane ID:3 0.00 75.00
2714362713
18-08-2023 07:32:33 Trip (RRN No / Trip No) 003051288133 / Plaza Name:Jaladhulagoritollplaza- Lane ID:7 0.00 130.00
2714157014
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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
• 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%.
• Our registered office address : ICICI Bank Limited, "Landmark", Race Course Circle, Vadodara - 390 007, Gujarat, India.
Declaration For ICICI Bank Limited
Authorized Signatory
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