4 tbsp. butter
3 tbsp. flour
2 c. milk
2 c. American cheese, shredded
3 c. elbow macaroni, cooked
1/2 tsp. salt
1 1/2 c. ham, chopped
2 tbsp. horseradish

Melt butter and stir in flour. Add milk and mix well. Cook over low heat, stirring constantly, until sauce thickens. Blend in cheese, elbows and salt. Pour into buttered casserole dish. Combine ham, horseradish and mustard. Sprinkle over elbow mixture. Press down slightly. Bake at 350 degrees for 20 to 25 minutes. Yields 8 servings.