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For 64-bit build: Install Gtk2 in MSYS2 ... Run 'perl Makefile.PL', 'gmake test', 'gmake install'. (All tests passed for me.)
########### Cairo-1.109 ... "C:\perl-5.38.0-1310-mcf\site\lib\MSWin32-x64-multi-thread\auto\Glib\G +lib.dll" Then run 'gmake install'. ('gmake test' can't be run because test scri +pts aren't generated.)