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mdillon
For getting the data out of Access, you may want to have a look at [cpan://Win32::ODBC]. For the PDF part, follow the suggestions other monks have given you and check out [cpan://PDF::API2] or [cpan://PDF::Create].
<p>For dealing with Access MDB files on systems where Access and/or ODBC/MSJet is unavailable, a non-Perl solution may be found in [http://mdbtools.sf.net/|MDB Tools].
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