| Number | 804 |
| Price | $5 |
| ROI | -0.216 |
| Loss | -$1.08 |
| Prize | Claimed | Printed |
|---|---|---|
| $50,000 | 1 | 3 |
| $5,000 | 1 | 3 |
| $2,000 | 9 | 10 |
| $500 | 14 | 16 |
| $200 | 200 | 223 |
| $100 | 969 | 1,090 |
| $70 | 1,056 | 1,186 |
| $50 | 2,910 | 3,278 |
| $30 | 5,160 | 5,906 |
| $20 | 7,056 | 8,015 |
| $16 | 12,616 | 14,645 |
| $12 | 12,558 | 14,645 |
| $10 | 101,167 | 117,160 |
| $5 | 86,108 | 102,515 |