| Number | 804 |
| Price | $5 |
| ROI | -0.256 |
| Loss | -$1.28 |
| Prize | Claimed | Printed |
|---|---|---|
| $50,000 | 1 | 3 |
| $5,000 | 1 | 3 |
| $2,000 | 9 | 10 |
| $500 | 13 | 16 |
| $200 | 180 | 223 |
| $100 | 913 | 1,090 |
| $70 | 985 | 1,186 |
| $50 | 2,722 | 3,278 |
| $30 | 4,838 | 5,906 |
| $20 | 6,558 | 8,015 |
| $16 | 11,741 | 14,645 |
| $12 | 11,710 | 14,645 |
| $10 | 94,190 | 117,160 |
| $5 | 79,991 | 102,515 |