static void Main(string[] args)
        {
            string filePath = "Lorem ipsum dolor sit amet.pdf";
            //load a random document
            PdfFormatProvider provider = new PdfFormatProvider();
            RadFixedDocument originalDocument;
            using (Stream stream = File.OpenRead(filePath))
            {
                originalDocument = provider.Import(stream);
            }
            //draw something on the first page
            FixedContentEditor editor = new FixedContentEditor(originalDocument.Pages[0]);
            editor.GraphicProperties.IsFilled = true;
            editor.GraphicProperties.FillColor = RgbColors.Black;
            Telerik.Documents.Primitives.Rect Rect = new Telerik.Documents.Primitives.Rect(10, 10, 200, 100);
            editor.DrawRectangle(Rect);

            //export the pages as images and build a brand new document from the images
            SkiaImageFormatProvider imageProvider = new SkiaImageFormatProvider();
            imageProvider.ExportSettings.ImageFormat = SkiaImageFormat.Jpeg;
            imageProvider.ExportSettings.ScaleFactor = 0.8;
            imageProvider.ExportSettings.Quality = 80;


            RadFixedDocument doc = new RadFixedDocument();
            foreach (RadFixedPage page in originalDocument.Pages)
            {
                byte[] resultImage = imageProvider.Export(page);
                RadFixedPage pdfpage = doc.Pages.AddPage();
                editor = new FixedContentEditor(pdfpage);
                Stream imageStream = new MemoryStream(resultImage);
                editor.DrawImage(imageStream);
            }

            //export the pdf built from the images
            PdfFormatProvider pdfFormatProvider = new PdfFormatProvider();
            string outputPdf = @"output.pdf";
            File.Delete(outputPdf);
            using (Stream output = File.OpenWrite(outputPdf))
            {
                pdfFormatProvider.Export(doc, output);
            }
            Process.Start(new ProcessStartInfo() { FileName = outputPdf, UseShellExecute = true });
        }

        static void Main(string[] args)
        {
            string filePath = "Lorem ipsum dolor sit amet.pdf";
            //load a random document
            PdfFormatProvider provider = new PdfFormatProvider();
            RadFixedDocument originalDocument;
            using (Stream stream = File.OpenRead(filePath))
            {
                originalDocument = provider.Import(stream);
            }
            //draw something on the first page
            FixedContentEditor editor = new FixedContentEditor(originalDocument.Pages[0]);
            editor.GraphicProperties.IsFilled = true;
            editor.GraphicProperties.FillColor = RgbColors.Black;
            Telerik.Documents.Primitives.Rect Rect = new Telerik.Documents.Primitives.Rect(10, 10, 200, 100);
            editor.DrawRectangle(Rect);

            using (Stream output = File.OpenWrite(filePath))
            {
                provider.Export(originalDocument, output);
            }

            using (Stream stream = File.OpenRead(filePath))
            {
                originalDocument = provider.Import(stream);
            }
            //export the pages as images and build a brand new document from the images
            SkiaImageFormatProvider imageProvider = new SkiaImageFormatProvider();
            imageProvider.ExportSettings.ImageFormat = SkiaImageFormat.Jpeg;
            imageProvider.ExportSettings.ScaleFactor = 0.8;
            imageProvider.ExportSettings.Quality = 80;


            RadFixedDocument doc = new RadFixedDocument();
            foreach (RadFixedPage page in originalDocument.Pages)
            {
                byte[] resultImage = imageProvider.Export(page);
                RadFixedPage pdfpage = doc.Pages.AddPage();
                editor = new FixedContentEditor(pdfpage);
                Stream imageStream = new MemoryStream(resultImage);
                editor.DrawImage(imageStream);
            }

            //export the pdf built from the images
            PdfFormatProvider pdfFormatProvider = new PdfFormatProvider();
            string outputPdf = @"output.pdf";
            File.Delete(outputPdf);
            using (Stream output = File.OpenWrite(outputPdf))
            {
                pdfFormatProvider.Export(doc, output);
            }
            Process.Start(new ProcessStartInfo() { FileName = outputPdf, UseShellExecute = true });
        }

var pdfFixedProvider = new Telerik.Windows.Documents.Fixed.FormatProviders.Pdf.PdfFormatProvider();
bytes = pdfFixedProvider.Export(fixedDocument);
fixedDocument = pdfFixedProvider.Import(bytes);

<?xml version="1.0" encoding="utf-8"?>
<workbook xmlns:r="http://schemas.openxmlformats.org/officeDocument/2006/relationships" xmlns="http://schemas.openxmlformats.org/spreadsheetml/2006/main">
	<sheets>
		<sheet sheetId="1" name="Sheet1" state="visible" r:id="rId1" />
	</sheets>
	<definedNames>
		<definedName name="Print_Titles" localSheetId="0" hidden="false">Sheet1!$A$1:$IV$3</definedName>
		<definedName name="_xlnm.Print_Area" localSheetId="0" hidden="false">Sheet1!$A:$G</definedName>
		<definedName name="_xlnm.Print_Titles" localSheetId="0" hidden="false">Sheet1!$1:$3</definedName>
	</definedNames>
</workbook>