ridewithgps.com can create a custom cue sheet pdf. I think you need the $50 a year paid membership to create them.
I selected the columns and the format.
If I think riders will be using the cue sheet, I edit the turns list that's part of the route page. I'll delete a few redundant entries, add a couple of others, and clean up some of the road name descriptions.
Here's a test route:
https://ridewithgps.com/routes/3635483
It's cue sheet pdf is attached. I didn't do any editing of this route, just generated the pdf.
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Here's the cue pdf options:
