ex10_11.htm


    
      

    

    Exhibit
10.21

     

    
      
        	
                In
      re

              	
                CROCHET & BOREL SERVICES,
      INC.

              	 
      	
                Case
      No.

              	 
      	
                08-10290 (BLS)

              
	 
      	
                Debtor

              	 
      	
                Reporting
      Period:

              	 
      	
                July 1 through July
  31

              


      

      
        


      

      
        


      

      
        DEBTOR
QUESTIONNAIRE

      

      


      
        	 
      	
                
                  Must be completed each month, it the answer to any
      of the questions is "Yes", provide a
      detailed explanation of each item. Attach additional sheets if
      necessary.

                

              	 	
                
                  Yes

                

              	 	
                
                  No

                

              
	
                
                  1  
      

                

              	
                
                  Have any assets been sold or transferred outside
      the normal course of business this
      reporting period?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  2  
      

                

              	
                
                  Have any funds been disbursed from any account
      other than a debtor in possession
      account this reporting period?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  3  
      

                

              	
                
                  Is the Debtor delinquent in the timely filing of
      any post-petition tax returns?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  4  
      

                

              	
                
                  Are workers compensation, general liability or
      other necessary insurance coverages
      expired or cancelled, or has the debtor received notice of expiration or
      cancellation of such policies?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  5  
      

                

              	
                
                  Is the Debtor delinquent in paying any insurance
      premium payment?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  6  
      

                

              	
                
                  Have any payments been made on pre-petition
      liabilities this reporting period?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  7  
      

                

              	
                
                  Are any post petition receivables (accounts, notes
      or loans) due from related
      parties?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  8  
      

                

              	
                
                  Are any post petition payroll taxes past
      due?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  9  
      

                

              	
                
                  Are any post petition State or Federal income
      taxes past due?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  10  
      

                

              	
                
                  Are any post petition real estate taxes past
      due?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  11  
      

                

              	
                
                  Are any other post petition taxes past
      due?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  12  
      

                

              	
                
                  Have any pre-petition taxes been paid during this
      reporting period?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  13  
      

                

              	
                
                  Are any amounts owed to post petition creditors
      delinquent?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  14  
      

                

              	
                
                  Are any wage payments past
      due?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  15  
      

                

              	
                
                  Have any post petition loans been been received by
      the Debtor from any party?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  16  
      

                

              	
                
                  Is the Debtor delinquent in paying any U.S.
      Trustee fees?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  17  
      

                

              	
                
                  Is the Debtor delinquent with any court ordered
      payments to attorneys or other
      professionals?

                

              	 	 
      	 	
                
                  X

                

              
	
                
                  18  
      

                

              	
                
                  Have the owners or shareholders received any
      compensation outside of the normal
      course of business?

                

              	 	 
      	 	
                
                  X