I do not know the specifics of PDF combination using
PDF::Reuse, however, you may find
this snippet of code which I posted previously for PDF concatenation using
PDF::API2 to be of use if you are simply looking for combination by way of concatenation (which at first glance it would appear that you are doing).
perl -le "print unpack'N', pack'B32', '00000000000000000000001011001011'"