1 lb. hamburger
1 1/2 c. macaroni
1 can cream of mushroom soup
3/4 c. milk
2/3 c. ketchup
3/4 c. grated cheese
1/4 c. green peppers, chopped
1 med. onion, chopped
salt and pepper

Brown meat and cook macaroni. Mix all ingredients. Pour into casserole dish. Cover.

Bake at 350°FF for 45 min.