He fucks her of course!

"Alright Akemi, get on the bed on all fours, I'm going to fuck you," he told her.

"Okay, sure thing," she said, before going to the bed and getting on her hands and knees.

He walked up behind her as she looked back at him, and he rubbed her ass as he pressed himself into her. She moaned, again neutral to her having to obey him, but she was still aroused and enjoying the sex itself.

He bottomed out, and began to fuck her slowly. "Tell me you are a slut," he told her as he worked.

"I am a slut," she told him in her detached manner.

He chuckled, and told her, "Good slut." He sped up and she cried out as her pussy tightened around him as he rubbed her back.

"Say you are my sex toy," he added.

"I am your sex toy," she told him without any anger.

He pounded into her now, and grunted as he came inside of her pussy. She moaned out her own orgasm and slowly collapsed.

As the sheets shifted, a slip of paper was exposed, and Naruto blinked, before picking it up.

It read, "Akemi will go to Naruto Uzumaki's apartment, strip naked, and wait for him on his bed for further instructions from him. Until he uses the Sex Note on her, she will obey his every command. Any command that would upset her, she will instead feel okay with from him, despite being aware of how she would normally feel. She will still enjoy what she would normally."

"Thanks for the present Ino," Naruto chuckled as he looked at Akemi, deciding to use the Note on her to tweak her current state.