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In Adobe Reader did you use 'Edit > Copy File to Clipboard', as this should preserve most of the formatting. Clearly, 'File > Save as Text' doesn't.
Concerning the accented characters, in Word click on the AA icon on the left of the Formatting toolbar to open the format and style panel.
Select what should be an accented character. In the Style panel scroll until you find the style which has a box round it indicating the style of the selection. Take notice of the font. Do you have this font installed? To change the font to one you do have which caters for accented characters - move your cursor to the right of the relevant style (in the style panel) an arrow for a drop down menu appears. Select Modify. Change the font.
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