Yellow Cab Receipt generator

Eight fields on a yellow cab receipt and not one of them costs more than a decent sandwich in the same zip code. Base fare $14.20. Airport zone surcharge costs $2.50. Tip $3.00. Total paid $19.70, which is what you would drop on a large pizza and a soda without thinking twice about it. Vehicle number YC-1178 with driver A. Patel behind the wheel. Pickup at Union Station in Denver, drop off at 1600 Broadway. The whole trip fits on a receipt shorter than most grocery runs.
The pickup address and the drop off address are plain text fields. Swap Denver for Dallas or swap Union Station for an airport terminal, and the receipt still looks exactly right. The base fare and the surcharge are editable. All separate fields you can change.
Vehicle number, driver, pickup, drop off, fare, surcharge, tip, total. Make this receipt fit any cab ride in any city by changing the numbers and the names. Yellow cab receipts all follow the same format.