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The first possible reference to the work[3] is by Francesco Paglia in 1675 - in writing of Casto he states generally that in "Val Sabria beyond these are seen in some little churches works by Romanino and Moretto".[4] It is impossible definitively to link this reference to specific paintings, but the only one still in this area is Moretto's St Antony the Abbot.[3] Its commissioner is unknown, but was probably the town of Casto - the Santuario was built from 1527 onwards after a vision of the Virgin Mary and the canvas dates to the years immediately after this.[1][3] There is no mention in later sources of the work being moved and so it seems to be on its original site.[3]