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110 <br /> �.TATEMENT OF I~1,W .` " L AFFAIRS FOR DEBTOR "AGED IN(BOVIESS <br /> Unitnd Slides atlnkruplcy Court F I L E D <br /> for fhr _ __ FASTFRN 0istrict of CALIEORNTA FEB 2 01987 <br /> In re Clerk, U. S. Bankruptcy Court <br /> ENERGY PETRDI 111M INC a f a 1 i fora i a rpr , CM30 No._.qAZ_QQ i 62 <br /> Dobinr {1nc1tjd+) Mire all names u3nd by debtor wlihin Inst 8 yenrsl. Chapter 7 Case <br /> STATEMENT OF FINANCIAL. AFFAIRS FOR. DEBTOR ENGAGED IN BUSINESS <br /> Itfich mr-MInn lihoold tie am-mrl+d or the IAIIII►R to RntWor exptalned.If the pol",14"none'Ihli should boo 310ild,If addlllonet Apeee Is needed for lhd am,wer <br /> to Any tlti-olon,a eopermtrf sheet properly fd"nllfled Amf made If pnrl hereof,Ahould Muted and altached. <br /> It Ih" rfebleir It to p"rimy.hip or a f orporallpn, the gw4illonif 0e11 b* donned to be Addret-ted 10. and AhAn be Arl9+*red on b*hAlf of, the perin"mhtp or <br /> corporellon; end the slntorn+1n1 Ahell be eerlifled by a member of the pertnershlp or by a duly authorized officer of the corpffrellon; <br /> yT,e Imm.`orlolnel rnlfllon,"no used In the foliotrinp questlong,ithett m*wn the petition sled under nut* 1@02, 1003,Or 1004,1 <br /> 1.Parlor•,tneollnn,*not oar".of hlNle-t1, l . <br /> A. 1)n.f•r —hal name e11d Where da you ur►y on y�U'r' a. Cardway Fuel P.O. box 157 Stockton, CA 95201 <br /> bgtlnwt,f <br /> h. In chat hiltln•tl are You an44ened? ltr butfnetl or•►.- <br /> Ifnnl hot t+►•n 1-rminaled. Rlvq the date OI tuCh 11rrt11na1• b. Petroleum Distribution <br /> Inn,} <br /> c.,w,+.e did rnu cnmrne11ee 100 butlnett? C. 7/l/80 <br /> H, wh••- -lt-, And and-r whel other nerr+el.Rev*you etr. <br /> Flom nn hart Fn•tt—110-111 the R r"llrt tmmeylalnlr1�prof-ding 11,4 <br /> fill', <br /> el it'. naltiln"r p-Ifllnn h-r-In? tal'" t[►*rl kodrettet, d. Node <br /> V.* nar"et of anv ne•ln-rt, Joint Advo"turert, or fflher Allo- <br /> r'l" t,it-4 nalur-of lh•bullous.And the perlorlt for which 11 <br /> �.at CArrl-d oriel <br /> e w .' NT—l? employer Idrnllflealton numb•►? voue <br /> anct■I sWt..'c+rrllr num her? e. 94-2571854 <br /> a,qv wh met,n•pndwr rrhnte eHneryltlO11,heves yol)r hnnkl �]. <br /> rrn+rnl ►11.1 r•rnrdt f,--n k-no during the 2 NAPS Immedl• L <br /> Jwv prrirHlnqq fit* fill", of the orlalnjll belltlOrt herein? a. Carol Shire ::: <br /> Box 744=Blvd. Stockton, <br /> IGIv nat++•t,addr-stet,and perlodl of 11m*.I <br /> Thompson, CP4 CountA <br /> h, nY wh"m hav-ynlrr honks of Arterrnl and reenrdl been <br /> anr111.4 r,W,,jq 1he 2 years Imr"ndlelely or*tatolne the rllfnQ <br /> ill Ih- nrfelrti r•tlllon herein? (I:llve narrlet, Addrellet, And b. Bank of Stockton 12/$5 <br /> dalet nl.Irdltl.f <br /> IRS Fuel Tax Audit for 1983 Tax yr. <br /> C. In whnt" pnttelttrin I1re your books of Aetount find <br /> r,cotdt+ Irly-nA",-t And addre11e1.1 c. Carol Shire and George Thompson <br /> d. ft anv of thele books Or retOfdt Are not Available, /K• rt / <br /> rl.tn. d NA <br /> / 41+v- any hnOlrt of atcotinl or r-rnrdt falaline to Your <br /> Afrai%rt P . too,roti, or otl,arwli- drtnOt-H .,f wll"I" <br /> the :0y•art L.,m-�f+.+I+ly or• -fling the filing of Ree orlgtna) e. No <br /> B•tlltn" "•r•tnr Ilf tn, elv- oarl eulert, 1"cllyding dale OI <br /> A-ttr trrl inn.Intl,or 1111nOUllon,and reetOn lhefef0f.1 <br /> S,I1+."vial tlr!-rr.•n N, <br /> ta,rvw vnq +lru•H any wrltlen IfnanClill tlaterr+antt wllhln <br /> rhe ' "•"' '�.�,�era,-ly °'"'•r,rn" '"" ?111", of Ih" "'g'""' 3. Bank of Stockton P.O. Box 1110 Stockton, CA 95201 <br /> 111." 01A q. A"rt the nam"+ end MHr-ifnt Qe <br /> 1h <br /> r•r+.An ��t ,n wr+nm ,esu-H, 1nel,rd+", m.rr.nlfl" end fr.tle Beacon Oil 525 W. Third St. Hanford , CA <br /> Shell Oil Co. P.O. Box 4848 Anaheim, CA <br />