6: Beneficiary Name: Wens Fargo Bank Address 2: City: State: Zip Code: - • • , Sy711O{ 9ruir tettn 'itttL/ (II Required) Account Type: Intemtidiary Bank Account/Code: Intermediary Bank Name: 0 DDA (US) O SIAN °Ogler • Payment Details (Reference/Advice Description/Addenda) Exp. reimbursement