| Number | 804 |
| Price | $5 |
| ROI | -0.258 |
| Loss | -$1.29 |
| Prize | Claimed | Printed |
|---|---|---|
| $50,000 | 2 | 3 |
| $5,000 | 2 | 3 |
| $2,000 | 10 | 10 |
| $500 | 16 | 16 |
| $200 | 212 | 223 |
| $100 | 1,038 | 1,090 |
| $70 | 1,127 | 1,186 |
| $50 | 3,098 | 3,278 |
| $30 | 5,549 | 5,906 |
| $20 | 7,560 | 8,015 |
| $16 | 13,539 | 14,645 |
| $12 | 13,513 | 14,645 |
| $10 | 108,939 | 117,160 |
| $5 | 92,928 | 102,515 |