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PDF is a format for output and review,
not a source format intended for editing. Thus you can
only do minor changes in it, such as:
- re-typing some text with the touchup-text-tool

- change font face, size, color for (part of) a line
of text
- delete or move graphics or text blocks with the
touchup-object-tool

- insert a new line of text: Ctrl-click with the touchup-text-tool
For all major editing, you should go back to the original
source document and afterwards re-create the PDF output.
With Acrobat 6, you can convert your PDF back to MS
Office .doc format. If the PDF was made via PDFmaker,
this will even apply text-editing changes suggested
by reviewers via PDF comments (if desired).
  
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