| Number | 804 |
| Price | $5 |
| ROI | -0.220 |
| Loss | -$1.10 |
| Prize | Claimed | Printed |
|---|---|---|
| $50,000 | 1 | 3 |
| $5,000 | 1 | 3 |
| $2,000 | 9 | 10 |
| $500 | 14 | 16 |
| $200 | 199 | 223 |
| $100 | 967 | 1,090 |
| $70 | 1,053 | 1,186 |
| $50 | 2,900 | 3,278 |
| $30 | 5,141 | 5,906 |
| $20 | 7,027 | 8,015 |
| $16 | 12,555 | 14,645 |
| $12 | 12,498 | 14,645 |
| $10 | 100,764 | 117,160 |
| $5 | 85,719 | 102,515 |