This section is from the book "Cook Book", by The Ladies of the Church of the Good Shepherd.
Break and wash the maccaroni and boil in salted water slowly two hours. Pour off the water, drain and serve with one-half pint of cream sauce.
Prepare as above, turn into a buttered dish, mix one-half a cupful of grated cheese and the same of bread crumbs, sprinkle over the macaroni, put in the oven and brown. It will take about twenty minutes.
Boil in salted water twenty-five minutes, pour off the water, drain and pour over it tomato sauce.