<h1>Payment Information</h1>
<hr />
<br />
<h2>General Information:</h2>
<table width="400" class="pmDetails">
<tr>
  <th>Payment ID:</th>
  <td>{PAYMENT_ID}</td>
</tr>
<tr>
  <th>Payment Date:</th>
  <td>{PAYMENT_DATE}</td>
</tr>
<tr>
  <th>Payment Amount:</th>
  <td>${PAYMENT_AMOUNT}</td>
</tr>
<tr>
  <th>Payment Status:</th>
  <td>{PAYMENT_STATUS}</td>
</tr>
<tr>
  <th>Payment Type:</th>
  <td>{PAYMENT_TYPE}</th>
</tr>
<tr>
  <th>Confirmation Number:</th>
  <td>{CONFIRMATION_NUMBER}</td>
</tr>
</table>
<br />
<h2>Payment Method Details:</h2>
<table class="pmDetails">
<tr>
  <th>Payment Method Nickname:</th>
  <td>{NICKNAME}</td>
</tr>
<tr>
  <th>Card Number:</th>
  <td>{CARD_NUMBER}</td>
</tr>
<tr>
  <th>Method Type:</th>
  <td>{METHOD_TYPE_STRING}</select></td>
</tr>
<tr>
  <th>Card Type:</th>
  <td>{CARD_TYPE_STRING}</td>
</tr>
<tr>
  <th>Expiration Date:</th>
  <td>{EXP_MONTH} / {EXP_YEAR}</td>
</tr>
<tr>
  <th>Type:</th>
  <td>{TYPE_STRING}</td>
</tr>
<tr>
  <th>Cardholder's Name:</th>
  <td>{CARDHOLDER_NAME}</td>
</tr>
<tr>
  <th>Address Line 1:</th>
  <td>{ADDRESS1}</td>
</tr>
<tr>
  <th>Address Line 2:</th>
  <td>{ADDRESS2}</td>
</tr>
<tr>
  <th>City:</th>
  <td>{CITY}</td>
</tr>
<tr>
  <th>State:</th>
  <td>{STATE}</td>
</tr>
<tr>
  <th>Zip:</th>
  <td>{ZIP}</td>
</tr>
</table>