I'm the author of CAM::PDF. Even under the best circumstances, getpdftext.pl produces barely readable output. My module doesn't have a renderer, so the text extraction is a total hack that I tossed into the module for fun.
I'm quite pleased that other tools have produced good results! CAM::PDF (which I barely maintain anymore, I'm sorry to say) is optimized for high-performance, low-level editing of PDF documents.
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