Name: ANAL KUMR TRIPATHY

EntityId: MA1XL2TVXP5J49023
Kit/TagId: 34161FA8203290D4C83580E0
EmailID: tripathy .anal kumr14049@hitchpayments.in
MobileNo: +919200214049

Statement for the period (From : 2024-03-01 To : 2024-04-02)

Toll Reader TXN Date & TXN TYPE Transaction Reference MERCHANT/TOLL NAME AMOUNT BALANCE
Time Time
2024-03-26 2024-03-26 DEBIT 171145484352992 JHIRIYA TOLL PLAZA 40.00 420.00
17:36:34 17:37:24
2024-03-26 2024-03-26 DEBIT 171145172869780 JHIRIYA TOLL PLAZA 40.00 160.00
16:45:04 16:45:29
2024-03-25 2024-03-25 DEBIT 171136715475978 JHIRIYA TOLL PLAZA 40.00 200.00
17:14:58 17:15:55
2024-03-24 2024-03-24 DEBIT 171127633250241 JHIRIYA TOLL PLAZA 40.00 240.00
16:01:59 16:02:13
2024-03-24 2024-03-24 DEBIT 171126576351493 JHIRIYA TOLL PLAZA 40.00 280.00
13:05:16 13:06:04
2024-03-23 2024-03-23 DEBIT 171116192658852 JHIRIYA TOLL PLAZA 40.00 320.00
08:15:03 08:15:27
2024-03-23 2024-03-23 DEBIT 171115852472745 JHIRIYA TOLL PLAZA 40.00 160.00
07:17:54 07:18:45
2024-03-16 2024-03-16 DEBIT 171059674999128 JHIRIYA TOLL PLAZA 40.00 200.00
18:21:06 19:15:50
2024-03-16 2024-03-16 DEBIT 171056211098409 JHIRIYA TOLL PLAZA 40.00 240.00
09:36:56 09:38:31
2024-03-15 2024-03-15 DEBIT 171049015821218 JHIRIYA TOLL PLAZA 40.00 280.00
13:38:33 13:39:18
2024-03-15 2024-03-15 DEBIT 171048355548996 JHIRIYA TOLL PLAZA 40.00 320.00
11:36:32 11:49:16
2024-03-12 2024-03-12 DEBIT 171021754287807 JHIRIYA TOLL PLAZA 40.00 360.00
09:55:08 09:55:43
2024-03-12 2024-03-12 DEBIT 171021416106296 JHIRIYA TOLL PLAZA 40.00 400.00
08:59:04 08:59:21
2024-03-11 2024-03-11 DEBIT 171013384246539 JHIRIYA TOLL PLAZA 40.00 440.00
10:39:54 10:40:43
2024-03-11 2024-03-11 DEBIT 171009777856876 JHIRIYA TOLL PLAZA 40.00 480.00
00:38:48 00:39:39
2024-03-10 2024-03-10 DEBIT 171008276456500 JHIRIYA TOLL PLAZA 40.00 520.00
20:28:57 20:29:25
2024-03-10 2024-03-10 DEBIT 171003981736240 JHIRIYA TOLL PLAZA 40.00 260.00
08:33:22 08:33:38
2024-03-09 2024-03-09 DEBIT 170995396195695 JHIRIYA TOLL PLAZA 40.00 300.00
08:42:25 08:42:42
2024-03-08 2024-03-08 DEBIT 170991046359855 JHIRIYA TOLL PLAZA 40.00 340.00
20:37:25 20:37:44
2024-03-08 2024-03-08 DEBIT 170990709445259 JHIRIYA TOLL PLAZA 40.00 380.00
19:40:42 19:41:35
2024-03-08 2024-03-08 DEBIT 170990584478639 JHIRIYA TOLL PLAZA 40.00 420.00
19:19:50 19:20:45
2024-03-08 2024-03-08 DEBIT 170988626925486 JHIRIYA TOLL PLAZA 40.00 160.00
13:54:00 13:54:29
2024-03-07 2024-03-07 DEBIT 170981920557554 JHIRIYA TOLL PLAZA 40.00 200.00
19:16:30 19:16:46
2024-03-06 2024-03-06 DEBIT 170974002075703 JHIRIYA TOLL PLAZA 40.00 240.00
21:16:30 21:17:01
2024-03-06 2024-03-06 DEBIT 170971178034344 JHIRIYA TOLL PLAZA 40.00 280.00
13:25:33 13:26:21
2024-03-06 2024-03-06 DEBIT 170971040958881 JHIRIYA TOLL PLAZA 40.00 320.00
13:02:35 13:03:30
2024-03-06 2024-03-06 DEBIT 170970416290824 JHIRIYA TOLL PLAZA 40.00 360.00
11:18:59 11:19:23

This is a computer generated statement and does not require signature

*Available balance includes funds earmarked for hold or unclear transactions. Contents of this statement will be
considered correct if no error reported within 30 days of receipt of the statement. The communication address and
contact details on this statement is that on record with the Issuer as at the day of requesting this statement.
 LEGENDS :
DR - Debit, CR - Credit, POS - POS Purchase, ATM - Cash Withdrawal through ATM:
 FASTag E-Statement

Bank Details Customer Details

Statement Reference Customer ID: 71543632 Address:
010424/071624/29
Number DILEEP KUMAR SINGH
Name: DILEEP KUMAR SINGH Ward n 7,
Name of ICICI Bank
Branch making the ICICI Bank Limited BKC Sidhi,
Statement Period: 01-03-2024 to 30-03-2024 Sidhi - 486661,
supply:
Madhya Pradesh,
Bill From Address of ICICI Bank Towers, Statement Date: 01-04-2024 INDIA.
ICICI: Bandra Kurla Complex,
Mumbai 400071 Type of address: Permanent

GSTIN of ICICI: 27AAACI1195H3ZK GSTIN Number: N/A

Place of Supply: Madhya Pradesh State Code: 23

Vehicle Summary
Tag Account No. Licence Plate No. Group Trip Count Opening Balance (Rs.) Credit (Rs.) Debit (Rs.) Closing Balance
(Rs.)
32978166 MA1XL2TVXP5K52 Default 20 120.00 1153.00 - 1030.00 243.00
383
Total 20 120.00 1153.00 - 1030.00 243.00

Transaction Details
Date & Time Activity Unique Transaction ID Transaction Description Amount Amount
(Rs.)(CR) (Rs.)(DR)
MA1XL2TVXP5K52383 - 32978166
30-03-2024 12:19:22 Payment U2P000000017968650 Received Payment by UPI P2P 100.00 0.00
27-03-2024 16:45:25 Payment U2P000000017875224 Received Payment by UPI P2P 100.00 0.00
27-03-2024 16:17:48 Trip (RRN No / Trip No) 171153656216524820631 / Plaza Name:Khadda- Lane ID:L04 0.00 60.00
3270433862
27-03-2024 15:18:55 Trip (RRN No / Trip No) 0010032403271519234239 Plaza Name:Sonvarsha- Lane ID:L04 0.00 60.00
/ 3270110087
26-03-2024 14:54:02 Payment U2P000000017840819 Received Payment by UPI P2P 100.00 0.00
26-03-2024 12:10:53 Trip (RRN No / Trip No) 0010032403261211204348 Plaza Name:Sonvarsha- Lane ID:L03 0.00 60.00
/ 3267122813
24-03-2024 13:11:46 Trip (RRN No / Trip No) 0010022403241312141371 Plaza Name:Sonvarsha- Lane ID:L04 0.00 60.00
/ 3262804243
21-03-2024 17:24:31 Trip (RRN No / Trip No) 0010022403211724580842 Plaza Name:Sonvarsha- Lane ID:L04 0.00 60.00
/ 3254381814
21-03-2024 10:06:35 Payment U2P000000017678102 Received Payment by UPI P2P 1.00 0.00
20-03-2024 22:14:02 Trip (RRN No / Trip No) 0010032403202215323943 Plaza Name:Sonvarsha- Lane ID:L02 0.00 30.00
/ 3252229212
20-03-2024 05:58:32 Trip (RRN No / Trip No) 0010022403200600150109 Plaza Name:Sonvarsha- Lane ID:L04 0.00 60.00
/ 3250035963
18-03-2024 20:35:03 Payment U2P000000017605490 Received Payment by UPI P2P 1.00 0.00
18-03-2024 17:52:13 Trip (RRN No / Trip No) 0010012403181755124765 Plaza Name:Sonvarsha- Lane ID:L03 0.00 30.00
/ 3246133332
18-03-2024 07:49:45 Trip (RRN No / Trip No) 0010032403180752205742 Plaza Name:Sonvarsha- Lane ID:L04 0.00 60.00
/ 3244826784
17-03-2024 15:41:02 Trip (RRN No / Trip No) 0010002403171541284172 Plaza Name:Sonvarsha- Lane ID:L02 0.00 30.00
/ 3243111884
17-03-2024 10:34:35 Trip (RRN No / Trip No) 0010002403171036033712 Plaza Name:Sonvarsha- Lane ID:L05 0.00 60.00
/ 3242395993
13-03-2024 18:58:01 Trip (RRN No / Trip No) 0010032403131859277402 Plaza Name:Sonvarsha- Lane ID:L03 0.00 60.00
/ 3232482806
11-03-2024 20:20:38 Payment U2P000000017410793 Received Payment by UPI P2P 1.00 0.00
07-03-2024 10:51:38 Payment U2P000000017309811 Received Payment by UPI P2P 299.00 0.00
07-03-2024 10:49:20 Payment U2P000000017309760 Received Payment by UPI P2P 1.00 0.00
05-03-2024 18:02:21 Payment U2P000000017275595 Received Payment by UPI P2P 200.00 0.00
05-03-2024 10:10:54 Trip (RRN No / Trip No) 0010032403051011243607 Plaza Name:Sonvarsha- Lane ID:L03 0.00 60.00
/ 3210108754

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 FASTag E-Statement
Transaction Details
Date & Time Activity Unique Transaction ID Transaction Description Amount Amount
(Rs.)(CR) (Rs.)(DR)
05-03-2024 09:01:06 Trip (RRN No / Trip No) 170960958174524613949 / Plaza Name:Khadda- Lane ID:L02 0.00 35.00
3209962370
04-03-2024 23:49:27 Trip (RRN No / Trip No) 170957646119324539403 / Plaza Name:Khadda- Lane ID:L04 0.00 60.00
3209235363
04-03-2024 21:00:24 Trip (RRN No / Trip No) 170956632250024508831 / Plaza Name:Khadda- Lane ID:L02 0.00 35.00
3208947901
04-03-2024 15:51:27 Trip (RRN No / Trip No) 170955828545624476013 / Plaza Name:Khadda- Lane ID:L05 0.00 60.00
3208677697
04-03-2024 15:03:58 Trip (RRN No / Trip No) 0010022403041504265367 Plaza Name:Sonvarsha- Lane ID:L04 0.00 30.00
/ 3208132391
04-03-2024 06:56:58 Payment U2P000000017240296 Received Payment by UPI P2P 350.00 0.00
03-03-2024 15:13:00 Trip (RRN No / Trip No) 0010022403031513396510 Plaza Name:Sonvarsha- Lane ID:L02 0.00 60.00
/ 3205566407
03-03-2024 14:25:31 Trip (RRN No / Trip No) 170945652161424121570 / Plaza Name:Khadda- Lane ID:L03 0.00 60.00
3205507944

CUG Payment Details

No transaction details to display

GSTIN Details
No transaction details to display

Load by UPI
No transaction details to display

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 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

‡ 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

3 of 3
 CUSTOMER DETAILS WALLET SUMMARY
Name AKASH SINGH PARIHAR Opening Balance 235.00 Miscellaneous Expenses 510.00

Mobile Number 9179163107 Closing Balance 0.00 Refunds 0.00

Statement Date 2 Apr 2024 Money Added 925.00 Cashbacks 0.00

Statement Period 1 Mar 2024 - 2 Apr 2024 Toll Expenses 650.0

VEHICLE DETAILS

Tag Sequence No Vehicle Reg No Vehicle Class Vehicle Class Description Status Trip Counts Total Amount

210134195 MP17ZB4180 VC-4 Car/Jeep/Van, 0-7,500 Kgs Closed 14 650.0

TOLL TRANSACTION DETAILS

Wallet
Wallet Toll Transaction Lane Transaction Transaction
Vehicle Reg No Amount Toll Plaza Name Withdraw
Transaction ID Transaction ID Type ID Status Timestamp
Time

171050510961 Toll 15 Mar 2024 15 Mar 2024

51159288024 MP17ZB4180 35.0 Khadda Toll Plaza L04 SUCCESS
524577390 Transaction 5:47 PM 9:44 PM

171047745672 Toll 15 Mar 2024 15 Mar 2024

51157340746 MP17ZB4180 60.0 Khadda Toll Plaza L03 SUCCESS
324464499 Transaction 10:06 AM 12:17 PM

171032266099 Toll 12 Mar 2024 13 Mar 2024

51150139272 MP17ZB4180 35.0 Khadda Toll Plaza L04 SUCCESS
624995097 Transaction 10:52 PM 6:05 PM

171024850066 Toll 12 Mar 2024 12 Mar 2024

51145945154 MP17ZB4180 60.0 Khadda Toll Plaza L02 SUCCESS
324770897 Transaction 6:29 PM 6:34 PM

691709902011 Toll Rewa Ring Road LAN 8 Mar 2024 8 Mar 2024
51115201769 MP17ZB4180 5.0 SUCCESS
822296466P Transaction Toll Plaza E02 6:07 PM 6:16 PM

001000240308 Toll Lane 8 Mar 2024 8 Mar 2024

51115070519 MP17ZB4180 45.0 Jognihai SUCCESS
1802304374 Transaction 07 6:01 PM 6:02 PM

Toll LAN 8 Mar 2024 8 Mar 2024

51114693500 003620497839 MP17ZB4180 40.0 Jhiriya Toll Plaza SUCCESS
Transaction E03 5:17 PM 5:18 PM

001000240308 Toll Harro Toll Plaza 8 Mar 2024 8 Mar 2024

51114022923 MP17ZB4180 45.0 L2 SUCCESS
1556502556 Transaction near Ganne 3:56 PM 3:56 PM

001001240308 Toll Harro Toll Plaza 8 Mar 2024 8 Mar 2024

51111216565 MP17ZB4180 90.0 L7 SUCCESS
0943332459 Transaction near Ganne 9:42 AM 9:43 AM

Toll LAN 8 Mar 2024 8 Mar 2024

51110980780 003619145270 MP17ZB4180 85.0 Jhiriya Toll Plaza SUCCESS
Transaction E07 9:05 AM 9:06 AM

001000240308 Toll Lane 8 Mar 2024 8 Mar 2024

51110743491 MP17ZB4180 80.0 Jognihai SUCCESS
0821048753 Transaction 02 8:20 AM 8:21 AM

661709623431 Toll Rewa Ring Road LAN 5 Mar 2024 5 Mar 2024
51087052236 MP17ZB4180 5.0 SUCCESS
07787834cP Transaction Toll Plaza E02 12:44 PM 12:53 PM

170923703189 Toll 1 Mar 2024 1 Mar 2024

51049713175 MP17ZB4180 35.0 Khadda Toll Plaza L05 SUCCESS
224339775 Transaction 1:32 AM 1:35 AM

001001240301 Toll Sonvarsha Toll 1 Mar 2024 1 Mar 2024

51049541682 MP17ZB4180 30.0 L04 SUCCESS
0041194348 Transaction Plaza 12:38 AM 12:41 AM

DEBIT ADJUSTMENT TRANSACTION DETAILS

Original Wallet
Wallet Original Toll Settlement Original Toll Plaza Original Transaction
Vehicle Reg No Transaction Withdraw
Transaction ID Transaction ID Amount Name Lane ID Status
Timestamp Time

CREDIT ADJUSTMENT TRANSACTION DETAILS

Original
Wallet Original Toll Settlement Original Toll Plaza Original Transaction Wallet
Vehicle Reg No Transaction
Transaction ID Transaction ID Amount Name Lane ID Status Credit Time
Timestamp

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