Just to head off a lot of confusion stirring on the net about this: The person who posted the picture is claiming this woman is doing app ratings, not some outsourced App Store submitted app approval process.
My understanding is that he got dozens of offers to help promote his app. Some were blatant buy-a-download - just to gain app store rank - some were less blatant, others were more traditional buy-a-targeted-clickthrough. It can be difficult to tell at first glance.
Thanks, that does indeed help head off confusion. I was thinking age ratings, but those are self-reported, and any checking on Apple's end is just part of the overall review process.