ex10_21.htm


    
      

    

    Exhibit
10.21

     

    
      	In re	 	
              CROCHET &
      BOREL SERVICES, INC.

            	 	
              Case No.

            	 	
              08-10290
      (BLS)

            
	 	 	 
      	 	
              Reporting
      Period:

            	 	
              June 1
      through
      June 30

            


    

     

    DEBTOR
QUESTIONNAIRE

     

    
      
        	 
      	 	
                Must be completed each month. If
      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