Acrobat 7.0 printing funny characters

I'm running Acrobat 7 professional.
I print out .pdf files that are scanned to me.  They are registration forms that are filled in at a medical office.  So the questions are type written and the answers are hand-written.
They print out fine 99% of the time.  Then, every once in a while, the preview looks great but when I print it, there are characters printed over the top of both the type written and hand written characters.
It maks the form unreadable.
When I go into the advanced button and set it to print as an image...it works.
Any thoughts?

No I can't post an example since it's PHI. 
But I did what you said.  The .pdf that works fine has nothing listed in the fonts page.  The one that doesn’t work has a lot of fonts.
On the Description page, the differences are:
Application (bad): IDRS KDK - Plus
Application (good): Xerox WorkCenter 7655
PDF Producer (bad): Image Recognition Integrated Systems S.A.
PDF Producer (good): Xerox WorkCenter 7655
So it's obviously trying to do some character recognition which I don't want.
So is my client (who sent these to me) sending from different scanners that are set up differently?  Or is she sending from the same scanner ... with the settings occasionally set differently for some reason.
I'd like to be a little educated before I talk to her.
Thanks for your help

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    Latin-1 (Western Europe/Americas) *******
    DE,EN,FR,ES,NL,SV       COURIER, HELVE, TIMES
                            (LETGOTH, LNPRINT)
    Latin-2 (Central Europe) ****************
    PL, CZ                  COURIER, HELVE, TIMES
    ISO 8859-4 (Baltic) *********************
    ET, LT, LV              COURIER, HELVE, TIMES
    ISO 8859-5 (Cyrillic) *******************
    BG, RU, SR, UK          COURCYR, HELVCYR, TIMECYR
    ISO 8859-7 (Greek) **********************
    EL                      COUR_I7, HELV_I7, TIME_I7
    ISO 8859-8 (Hebrew) *********************
    HE                      COURIER, HELVE, TIMES
    ISO 8859-9 (Turkish) ********************
    TR                      COURIER, HELVE, TIMES
    Simplified Chinese **********************
    ZH                      CNHEI, CNKAI, CNSONG
    Japanese ********************************
    JA                      JPMINCHO, DBMINCHO, DBGOTHIC
    Korean **********************************
    KP                      KPBATANG, KPDODUM, KPGULIM
                            KPGUNGSE, KPSAMMUL
    Traditional Chinese *********************
    ZF                      TWDPHEI, TWMING, TWSONG
    Thai ************************************
    TH                      THANGSAN, THDRAFT, THVIJIT
    Arabic (Unicode systems only) ***********
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    Verify your output by examining the OTF data
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    The easiest way to do this is to create a spool request from your application, run transaction SP01, use menu
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    //XHPLJ8000    0700 00000000001
    IN04EALEXTEST_ZEBRA
    IN05%PAGE1
    OPDINA4  P 144  240 1683811906000010000100001
    IN06%WINDOW2
    MT0024401289
    CP11000000E
    FCHELVE  120  00109XSF100SF101110000067E X
    UL +0000000000000
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    CT00000000
    ST0453037Dieses SF hat Stil ALEXTEST_ZEBRA mit
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    //XHPLJ8000    0700 00000000001
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    IN04EALEXTEST_ZEBRA
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    The OP-line (OP = Open Page) gives the page format used in the form, it is DINA4 Portrait orientation:
    OPDINA4  P 144  240 1683811906000010000100001
    The CP (CodePage) cmd shows the SAP system codepage used to code the text and the active language. In our case it is codepage 1100 and language E = EN = English.
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    FCHELVE   120  00109XSF100SF101110000067E X
    Header Data
    Release Status: Released for Customer
    Released on: 22.08.2005  09:57:20
    Priority: Recommendations/additional info
    Category: Customizing
    Primary Component: BC-CCM-PRN Print and Output Management
    Secondary Components: BC-SRV-SCR SAPscript
    BC-SRV-SSF Smart Forms
    <b>
    Reward points for useful Answers</b>
    Regards
    Anji

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