You seem to have a binary-only distribution, and you're trying to use a C compiler to install modules from CPAN. (I would guess you're using the standard "perl -MCPAN -e shell" idiom.) This would be the method under a Unix-like operating system with a readily available C compiler, but not under Win32 with a binary distribution.
With ActiveState, you have a ppm utility. You can get more information about PPM here, but if you're familiar with the CPAN module it works nearly the same way. You should be able to install your printer module easily then.
Hope this helps.
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