First Name Last Name Account Number Client Number Invoice Date MICHAEL PALIT X37002720333 07 DEC 2023 HEALTH FEE INVOICE Balance from previous invoice 15 NOV 2023 28 NOV 2023 $ 150.00 Payment Received Payment Received -150.00 -150.00 Current Charges DATE 07 DEC 2023 ITEM DESCRIPTION DUE Health Fee November 2023 75.00 Total Charges $ -75.00 Total Due $-75.00 RSBC 248 Rev.2023/8/16 Page 1 of 1 DETACH Please keep the top portion of invoice for your records and return the bottom portion with your payment Client Copy -------------------------------- ------------------------------- --------------------------RSBC Copy PAYMENT REMITTANCE ADVICE Account Number X37002720333 Overdue Balance Current Charges Total Amount Due -75.00 Amount Payable Amount Paid Make cheque or money order payable to the Minister of Finance 370027203330079447314 MICHAEL WARANEY PALIT 11401 8 ST DAWSON CREEK BC V1G 4G2 Please do not write on this remittance advice Revenue Services of British Columbia (RSBC) provides billing and collection services on behalf of the Province of British Columbia Important Health Fee Information Medical Services Plan (MSP) coverage is mandatory for British Columbia residents. International students enrolled in British Columbia's MSP are invoiced a monthly health fee. The fee is payable for any period that you hold a valid study permit. Please contact Health Insurance BC (HIBC) if you obtain Permanent Resident or Canadian citizen status, or if your address changes. Payment Options You can pay using one of the following options: Online Banking Choose the payee name your financial institution uses for Revenue Services of BC. Ask your financial institution for details. Billing & Payment Services Pay online at gov.bc.ca/RSBC You can make a one-time payment, set up an automated recurring payment or pay by credit card. Self-Service by Phone Call Revenue Services of BC at 1-877-383-0016 and select Make a Payment to pay with a credit card. Service BC Centres Visit your local Service BC Centre to make a payment in person. By Mail (cheque, money Make payable to the Minister of Finance. Write your account number on your payment and include the payment coupon. Mail to the RSBC address below. Do NOT staple cheques to your payment coupon. order or bank draft) Note: Any payment not honoured by your financial institution will be subject to a service charge Freedom of Information and Protection of Privacy Act (FOIPPA) - The personal information on this form is collected for the purpose of administering revenue services under the authority of section 26(c) of the FOIPPA. Questions about the collection or use of this information can be directed to the Policy Analyst, Receivable Management Officer, PO Box 9445 Stn Prov Govt, Victoria BC V8W 9V5 (telephone: 1-866-329-9899) Email: RMOPOLRS@gov.bc.ca Health Insurance BC gov.bc.ca/msp Contact Health Insurance BC to: Update or cancel MSP coverage, including when moving outside B.C. Request a non-photo BC Services Card Update personal information, including name, address, date of birth and telephone number Telephone Mail Lower Mainland: 1 604 683-7151 Elsewhere in BC: 1 800 663-7100 Health Insurance BC PO Box 9035 Stn Prov Govt Victoria BC V8W 9E3 RSBC 248 Rev.2023/8/16 Revenue Services of British Columbia gov.bc.ca/RevenueServicesBC Contact Revenue Services of British Columbia: At gov.bc.ca/RSBC to view your account balance and payment history, sign up for electronic invoicing or explore payment options By phone for questions about your invoice, refund requests, collection of overdue accounts, insolvency (e.g. bankruptcy administration) Telephone 1-877-383-0016 Outside North America 1-250-405-4909 Fax 1-250-405-4412 Email RevenueServicesBC@gov.bc.ca Mail Revenue Services of BC PO Box 9085 Stn Prov Govt Victoria BC V8W 9E4 -------------------------------- ------------------------------- --------------------------