The PDF you posted made from MS Word is listed as 8.26" x 11.69" -- way to large to be read on the Reader. The LRF was, as you said, almost unreadable. It looked like a report that had been copied too many times on the office copier or something from a bad fax.
What I have done in the past is (as JSWolf has pointed out) made special PDFs for the Reader. It is a bit more than just setting the Acrobat output, you need to change the page size in Word for the entire document to 90mm x 120mm. Then you can reset your base font to 9 pt (as most like it) or 10 pt (as I like.)
You may also want to checkout libprs500. If you save the Word file as HTML and use the html2lrf command line program it may generate what you are looking for.
Good luck.
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