It's basically a way of exagerating the point so people know you really mean what you are saying. See example 1.
It can also be used as a sarcastic response. See example 2.
"Oi you, Did you shag my mum last night?".
"YEAH!!!,WITH BELLS ON!!".
"Oi you, did you file those reports I asked you to do?".
"YEAH, WITH BELLS ON...NOW SUCK MY CHODE!!!".
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